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Organization
CITY OF KENOSHA
Active
Organization
CITY OF KENOSHA
Active
Parent organization
CITY OF KENOSHA
Other names
City of Kenosha Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF KENOSHA
Authorized official
MR. JAMES POLTROCK (DIVISION CHIEF OF EMS)
(262) 653-4097
Entity
Organization
Contact information
Practice address
4810 60TH ST, KENOSHA, WI 53144-2451
(262) 653-4097
(262) 653-4107
Mailing address
4810 60TH ST, KENOSHA, WI 53144-2451
(262) 653-4097
(262) 653-4107
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000422
WI
Other
Enumeration date
01/06/2007
Last updated
03/17/2018
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