NPI 1356058713 · live from the CMS NPI Registry
City Of Lake Mills
Ambulance, Land Transport in Lake Mills, WI. National Provider Identifier 1356058713, active.
NPI record
| NPI | 1356058713 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 120 Veterans Ln, Lake Mills, WI 53551 |
| Practice phone | 920-648-5117 |
| Mailing address | 200d Water St, Lake Mills, WI 53551 |
| Enumerated | November 3, 2022 |
| Last updated | November 7, 2022 |
| Authorized official | Joel Theder, Captain |
| Other names | City Of Lake Mills Fire Department |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.