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NPI Code Detail

MEDICARE: VILLAGE OF SHOREWOOD HILLS

MEDICARE: VILLAGE OF SHOREWOOD HILLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11012200OTHERPHYSICIAN'S PLUS
222242OTHERGHC
3501963OTHERDEAN CARE

General Provider Information

NPI Number : 1164503686
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE OF SHOREWOOD HILLS
Provider Business Mailing Address
First Line : 810 SHOREWOOD BLVD
Second Line :
City : MADISON
State : WI
Zip : 53705-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1008 SHOREWOOD BLVD
Second Line :
City : MADISON
State : WI
Zip : 53705-2115
Country : US
Telephone Number : 608-267-2680
Fax Number :
Authorized Official
Title or Position : EMERGENCY SERVICES COORDINATOR
Name : DAVID SYKES
Credential :
Telephone Number : 608-267-2680
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

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Directions to “VILLAGE OF SHOREWOOD HILLS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.