MEDICARE: MOSINEE FIRE DISTRICT

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	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770537474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSINEE FIRE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 202
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455-0202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 3RD ST
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455-1424
Country	:	US
Telephone Number	:	715-693-2059
Fax Number	:

Authorized Official
Title or Position	:	COORDINATOR
Name	:	SCOTT KLINGER
Credential	:
Telephone Number	:	715-693-2059

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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Directions to “MOSINEE FIRE DISTRICT ” Practice Location

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