# CITY OF ELKHORN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF ELKHORN
- **Other names:** Elkhorn Fire Department, EMS Division
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215974571
- **Legal business name:** CITY OF ELKHORN
- **Authorized official:** DAVID J FLADTEN NREMT-P, CCEM (EMS CHIEF)
- **Authorized official phone:** (262) 723-5080

## Contact information

- **Practice address:** 13 S BROAD ST, ELKHORN, WI 53121-1702
- **Practice address phone:** (262) 723-5080
- **Mailing address:** PO BOX 445, ELKHORN, WI 53121-0445
- **Mailing address phone:** (262) 723-5080
- **Mailing address fax:** (262) 723-2846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000717 | WI | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 08/25/2011
