# VILLAGE OF PALMYRA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073889580
- **Authorized official:** LAWRENCE CLAUDE KREGER (FIRE CHIEF)
- **Authorized official phone:** (262) 495-2380

## Contact information

- **Practice address:** 126 N. FIRST STREET, PALMYRA, WI 53156
- **Practice address phone:** (262) 495-2380
- **Mailing address:** PO BOX 380, 100 W TAFT ST., PALMYRA, WI 53156
- **Mailing address phone:** (262) 495-8316
- **Mailing address fax:** (262) 495-8775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6604921 | WI | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 07/02/2012