# LAKE COUNTRY FIRE & RESCUE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457689051
- **Authorized official:** MATTHEW FENNIG (FIRE CHIEF)
- **Authorized official phone:** (262) 303-4531

## Contact information

- **Practice address:** 115 MAIN STREET, DELAFIELD, WI 53018-1308
- **Practice address phone:** (262) 646-6235
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (336) 510-5894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6604884 | WI | Yes |

## Other

- **Enumeration date:** 11/20/2009
- **Last updated:** 10/27/2025
