Organization Name: | VILLAGE OF LAFARGE |
NPI Number: | 1760534648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY MICHAEL LAWTON (SERVICE DIRECTOR) |
Mailing Address: | 201 S Cherry St La Farge |
State: | WI US |
Postal Code: | 54639 |
Phone Number: | 6086256147 |
Fax Number: | 6086252110 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 6001078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |