Healthcare Provider Details

I. General information

NPI: 1891745840
Provider Name (Legal Business Name): CITY OF WAUKESHA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W ST PAUL AVE
WAUKESHA WI
53188
US

IV. Provider business mailing address

201 DELAFIELD ST
WAUKESHA WI
53188-3639
US

V. Phone/Fax

Practice location:
  • Phone: 262-524-3668
  • Fax:
Mailing address:
  • Phone: 262-524-3556
  • Fax: 336-510-5894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number6000281
License Number StateWI

VIII. Authorized Official

Name: MR. ALLEN JOHN LA CONTE
Title or Position: FIRE CHIEF
Credential:
Phone: 262-524-3668