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NPI Code Detail

MEDICARE: WHITEWATER FIRE DEPARTMENT INC

MEDICARE: WHITEWATER FIRE DEPARTMENT INC
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
13416L0300XLand Ambulance6000512WI

General Provider Information

NPI Number : 1730540774
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHITEWATER FIRE DEPARTMENT INC
Provider Business Mailing Address
First Line : PO BOX 72140
Second Line :
City : CEDARBURG
State : WI
Zip : 53012-7340
Country : US
Telephone Number : 262-375-9610
Fax Number : 262-375-9608
Provider Business Practice Location Address
First Line : 312 W WHITEWATER ST
Second Line :
City : WHITEWATER
State : WI
Zip : 53190-1940
Country : US
Telephone Number : 262-473-0510
Fax Number : 262-473-0589
Authorized Official
Title or Position : BILLING MANAGER
Name : BRADLEY RORAFF
Credential :
Telephone Number : 262-375-9610
Provider Enumeration Date : 03/18/2016
Last Update Date : 03/18/2016

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Directions to “WHITEWATER FIRE DEPARTMENT INC ” Practice Location

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