Organization Name: | TOWN OF CONOVER |
NPI Number: | 1063744639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL B MERGEN (GM) |
Mailing Address: | 4665 County K E Conover |
State: | WI US |
Postal Code: | 545190115 |
Phone Number: | 7154798688 |
Fax Number: | 7154798688 |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 6011195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |