Village of Jackson
Organization Active NPI Land Ambulance · Jackson, WI
NPI 1255501672 · NPPES record last updated Dec 15, 2010
Key facts
- NPI
- 1255501672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 38476 (WI)
- Legal business name
- VILLAGE OF JACKSON
- Practice address
- W204N16722 Jackson Dr
Jackson, WI 53037-9796 - Phone
- (262) 677-3811
- Fax
- (262) 677-9471
- NPI assigned
- Mar 3, 2008
- Organization subpart
- No
Authorized official
- Name
- John Michael Skodinski
- Title
- Fire Chief
- Phone
- (262) 677-3811
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Jackson Rescue Squad FD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 38476 | WI | Yes |
Addresses
Primary practice location
W204N16722 Jackson Dr
Jackson, WI 53037-9796
Mailing address
PO Box 72140
Cedarburg, WI 53012-7340
Phone (262) 375-9610
Other names
- JACKSON FIRE DEPARTMENT
Other providers in Jackson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.