# VILLAGE OF VALDERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valders Fire Department Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194852061
- **Authorized official:** CHRISTOPHER THOMAS DALLAS (SERVICE DIRECTOR)
- **Authorized official phone:** (920) 775-4526

## Contact information

- **Practice address:** 103 EISENHOWER STREET, VALDERS, WI 54245
- **Practice address phone:** (920) 775-4526
- **Practice address fax:** (920) 775-9782
- **Mailing address:** PO BOX 307, 103 EISENHOWER STREET, VALDERS, WI 54245-0307
- **Mailing address phone:** (920) 775-4526
- **Mailing address fax:** (920) 775-9782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000469 | WI | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 12/13/2013
