| Organization Name: | LAUDERDALE-LAGRANGE FIRE DEPARTMENT, INC. |
| NPI Number: | 1114924206 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES TAYLOR (RESCUE CAPTAIN) |
| Mailing Address: | W6080 Us Highway 12 Whitewater |
| State: | WI US |
| Postal Code: | 531904033 |
| Phone Number: | 2624958400 |
| Fax Number: | 2624958426 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 60-00522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |