Healthcare Provider Details

I. General information

NPI: 1427106699
Provider Name (Legal Business Name): CITY OF RACINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2007
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 8TH ST
RACINE WI
53403-1433
US

IV. Provider business mailing address

810 8TH ST
RACINE WI
53403-1433
US

V. Phone/Fax

Practice location:
  • Phone: 262-635-7900
  • Fax: 262-635-7864
Mailing address:
  • Phone: 262-635-7911
  • Fax: 336-510-5894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number6000194
License Number StateWI

VIII. Authorized Official

Name: MR. STEVE HANSEN
Title or Position: FIRE CHIEF
Credential:
Phone: 262-635-7900