Eagle Fire District
Organization Active NPI Land Ambulance · Eagle, WI
NPI 1295887941 · NPPES record last updated Jan 12, 2009
Key facts
- NPI
- 1295887941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 6001237 (WI)
- Legal business name
- EAGLE FIRE DISTRICT
- Practice address
- 126 E. Main St
Eagle, WI 53119 - Phone
- (262) 542-9699
- Fax
- (262) 549-9177
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Janet M Whettam
- Title
- Office Manager
- Phone
- (262) 542-9699
National Provider Directory
Locations
126 E Main St
Eagle, WI 53119
Phone (262) 542-9699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6001237 | WI | Yes |
Addresses
Primary practice location
126 E. Main St
Eagle, WI 53119
Mailing address
126 E. Main St
Eagle, WI 53119
Phone (262) 542-9699
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41318300 | Medicaid | WI |
Other providers in Eagle, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2009. 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.