# TOWN OF MADISON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487634028
- **Authorized official:** KATIE E JELLE (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (608) 210-7260

## Contact information

- **Practice address:** 2120 FISH HATCHERY RD, MADISON, WI 53713-1253
- **Practice address phone:** (608) 210-7260
- **Practice address fax:** (608) 210-7236
- **Mailing address:** 2120 FISH HATCHERY RD, MADISON, WI 53713-1253
- **Mailing address phone:** (608) 210-7260
- **Mailing address fax:** (608) 210-7236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6001182 | WI | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 10/26/2012