Healthcare Provider Details

I. General information

NPI: 1639285000
Provider Name (Legal Business Name): ROCHESTER VOLUNTEER FIRE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31020 ACADEMY RD
ROCHESTER WI
53167
US

IV. Provider business mailing address

PO BOX 38
ROCHESTER WI
53167-0038
US

V. Phone/Fax

Practice location:
  • Phone: 262-534-3444
  • Fax:
Mailing address:
  • Phone: 262-534-3444
  • Fax: 262-534-2652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JACK A BIERMANN
Title or Position: FIRE CHIEF
Credential:
Phone: 262-534-3444