| Organization Name: | OLD WASHINGTON VOL FIRE DEPARTMENT |
| NPI Number: | 1306980370 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ANN SULIK (MANAGER) |
| Mailing Address: | W62n244 Washington Ave Cedarburg |
| State: | WI US |
| Postal Code: | 530122709 |
| Phone Number: | 2623759610 |
| Fax Number: | 2623759608 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 10/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |