MEDICARE: VILLAGE OF PLUM CITY

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
1	341600000X	Ambulance	6001242	WI

General Provider Information

NPI Number	:	1164601522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF PLUM CITY

Provider Business Mailing Address
First Line	:	223 1ST ST
Second Line	:
City	:	PLUM CITY
State	:	WI
Zip	:	54761-9002
Country	:	US
Telephone Number	:	715-647-2141
Fax Number	:	336-510-5894

Provider Business Practice Location Address
First Line	:	309 MAPLE AVE W
Second Line	:
City	:	PLUM CITY
State	:	WI
Zip	:	54761-9015
Country	:	US
Telephone Number	:	715-647-2141
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JOANNE KAREN HOVEY
Credential	:
Telephone Number	:	715-495-6963

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	12/19/2025

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1083893788 — SCHOOL DISTRICT OF PLUM CITY
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1184055717 — ANNE MONETTE
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Directions to “VILLAGE OF PLUM CITY ” Practice Location

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