| Organization Name: | VILLAGE OF KEWASKUM |
| NPI Number: | 1396041448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE L SCHERFF SULIK (VICE PRESIDENT) |
| Mailing Address: | 1106 Fond Du Lac Ave Kewaskum |
| State: | WI US |
| Postal Code: | 530409492 |
| Phone Number: | 2626262411 |
| Fax Number: | 2626263635 |
| NPI Enumeration Date: | 02/08/2011 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 6000375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |