Healthcare Provider Details

I. General information

NPI: 1083869549
Provider Name (Legal Business Name): MCFARLAND EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 11/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 MILWAUKEE STREET
MCFARLAND WI
53558
US

IV. Provider business mailing address

5915 MILWAUKEE STREET
MCFARLAND WI
53558
US

V. Phone/Fax

Practice location:
  • Phone: 608-838-3152
  • Fax: 608-838-3619
Mailing address:
  • Phone: 608-838-3152
  • Fax: 608-838-3619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60000293
License Number StateWI

VIII. Authorized Official

Name: LORI SCHLAFER
Title or Position: EMS CHIEF
Credential: NREMT-P
Phone: 608-838-3152