Fox Lake Community Fire Association

NPI 1184671448 - Ambulance - 3416L0300X

NPI Details
NPI 1184671448
Enumeration Date 05/30/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RUSSELL RUSSELL
Position SECRETARY TREASURER
Phone (920) 928-6115
Fax
Practice Location
246 E STATE ST
FOX LAKE WI, 53933-8027, US
Phone (920) 928-6115
Fax
Business Location
W8542 LAUREL HILL RD
FOX LAKE WI, 53933-9739, US
Phone (920) 928-6115
Fax
Toxanomy
Taxonomy Code 3416L0300X
License State Wisconsin
License Number 6000139
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According to our database, Fox Lake Community Fire Association NPI is 1184671448, taxonomy code is 3416L0300X and license number is 6000139, license state is located at Wisconsin. Fox Lake Community Fire Association physically located at 246 E State St, Fox Lake WI, 53933-8027. NPI Number 1033115704 has the healthcare provider type.

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1184671448 NPI number is provided on an as is basis without warranty of any kind. 1184671448 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Lake Community Fire Association are for informational purposes only.