Healthcare Provider Details

I. General information

NPI: 1861610883
Provider Name (Legal Business Name): STRATFORD AREA FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212200 STATE HIGHWAY 97
STRATFORD WI
54484-4326
US

IV. Provider business mailing address

PO BOX 103
STRATFORD WI
54484-0103
US

V. Phone/Fax

Practice location:
  • Phone: 715-687-4157
  • Fax: 715-391-1040
Mailing address:
  • Phone: 715-387-3988
  • Fax: 715-387-0646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-355
License Number StateWI

VIII. Authorized Official

Name: MR. TROY WIESMAN
Title or Position: COMMISSION CHAIRPERSON
Credential:
Phone: 715-897-4589