# CITY OF LAKE MILLS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City of Lake Mills Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356058713
- **Authorized official:** MR. JOEL SCOTT THEDER AEMT (CAPTAIN)
- **Authorized official phone:** (920) 648-5117

## Contact information

- **Practice address:** 120 VETERANS LN, LAKE MILLS, WI 53551-1555
- **Practice address phone:** (920) 648-5117
- **Practice address fax:** (920) 648-8743
- **Mailing address:** 200D WATER ST, LAKE MILLS, WI 53551-1632
- **Mailing address phone:** (920) 648-5117
- **Mailing address fax:** (920) 648-8743

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/07/2022