Organization Name: | KEWASKUM FIRE DEPARTMENT |
NPI Number: | 1861506255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID SULIK (BILLING MANAGER) |
Mailing Address: | 1106 Fond Du Lac Ave Kewaskum |
State: | WI US |
Postal Code: | 53040 |
Phone Number: | 2626262842 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 02/19/2008 |
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: |