# FOX LAKE COMMUNITY FIRE ASSOCIATION

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

## Provider details

- **NPI number:** 1184671448
- **Authorized official:** MR. RUSSELL KOTTKE (SECRETARY TREASURER)
- **Authorized official phone:** (920) 960-7754

## Contact information

- **Practice address:** 246 E STATE ST, FOX LAKE, WI 53933-8027
- **Practice address phone:** (920) 928-6115
- **Mailing address:** W8542 LAUREL HILL RD, FOX LAKE, WI 53933-9739
- **Mailing address phone:** (920) 928-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000139 | WI | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 06/09/2025