Organization Name: | COUNTY OF MARQUETTE |
NPI Number: | 1306841317 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY A HOUSLET (DIRECTOR OF EMS) |
Mailing Address: | 480 Underwood Ave Montello |
State: | WI US |
Postal Code: | 539490181 |
Phone Number: | 6082973125 |
Fax Number: | 6082979176 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 6000993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |