Healthcare Provider Details

I. General information

NPI: 1407784903
Provider Name (Legal Business Name): CITY OF DELAVAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 ANN ST
DELAVAN WI
53115-1915
US

IV. Provider business mailing address

123 S 2ND ST
DELAVAN WI
53115-1769
US

V. Phone/Fax

Practice location:
  • Phone: 262-728-5646
  • Fax: 262-728-4566
Mailing address:
  • Phone: 262-740-3495
  • Fax: 336-791-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: SEAN MCKEAN
Title or Position: FIRE CHIEF
Credential:
Phone: 262-740-3495