Healthcare Provider Details

I. General information

NPI: 1992759161
Provider Name (Legal Business Name): UNION GROVE YORKVILLE FIRE RESCUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MAIN ST
UNION GROVE WI
53182-1048
US

IV. Provider business mailing address

700 MAIN ST
UNION GROVE WI
53182-1048
US

V. Phone/Fax

Practice location:
  • Phone: 262-878-4181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIMOTHY ALLEN
Title or Position: CHIEF
Credential:
Phone: 262-878-4181