Wellformed AI

NPI 1770697153 · live from the CMS NPI Registry

City Of Jefferson

Ambulance, Land Transport in Jefferson, WI. National Provider Identifier 1770697153, active.

NPI record

NPI1770697153 Type 2 · organization
StatusActive
Primary specialtyAmbulance, Land Transport 3416L0300X
Practice location351 E Racine St, Jefferson, WI 53549
Practice phone920-674-2751
Mailing addressPo Box 547, Wheeling, IL 60090
EnumeratedAugust 19, 2006
Last updatedJanuary 29, 2025
Authorized officialSusan Reinen, Ems Director
Other namesJefferson Ems

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance, Land Transport primary3416L0300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.