# CITY OF BEAVER DAM ET AL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaver Dam Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235186883
- **Authorized official:** JOHN SOMERS (FINANCE DIRECTOR)
- **Authorized official phone:** (920) 887-4600

## Contact information

- **Practice address:** 205 S LINCOLN AVE, BEAVER DAM, WI 53916-2323
- **Practice address phone:** (920) 887-4600
- **Mailing address:** 205 S LINCOLN AVE, BEAVER DAM, WI 53916-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 09/03/2009
