# VILLAGE OF JACKSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACKSON FIRE DEPARTMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255501672
- **Authorized official:** JOHN MICHAEL SKODINSKI (FIRE CHIEF)
- **Authorized official phone:** (262) 677-3811

## Contact information

- **Practice address:** W204N16722 JACKSON DR, JACKSON, WI 53037-9796
- **Practice address phone:** (262) 677-3811
- **Practice address fax:** (262) 677-9471
- **Mailing address:** PO BOX 72140, CEDARBURG, WI 53012-7340
- **Mailing address phone:** (262) 375-9610
- **Mailing address fax:** (262) 375-9608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 38476 | WI | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 12/15/2010