Organization Name: | CEDARBURG FIRE / RESCUE |
NPI Number: | 1134176787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD R VAN DINTER (CHIEF) |
Mailing Address: | W61n631 Mequon Ave Cedarburg |
State: | WI US |
Postal Code: | 530122017 |
Phone Number: | 2623757630 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 6000521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |