# VILLAGE OF JOHNSON CREEK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Creek Fire & EMS Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528172905
- **Authorized official:** MR. TIM WHITHAM (FIRE CHIEF)
- **Authorized official phone:** (920) 699-3456

## Contact information

- **Practice address:** 120 S WATERTOWN ST, JOHNSON CREEK, WI 53038-9510
- **Practice address phone:** (920) 699-5258
- **Mailing address:** PO BOX 529, 120 SOUTH WATERTOWN STREET, JOHNSON CREEK, WI 53038-0529
- **Mailing address phone:** (920) 699-3456
- **Mailing address fax:** (920) 699-3458

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 02/16/2010