# VILLAGE OF FONTANA ON GENEVA LAKE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VILLAGE OF FONTANA-ON-GENEVA LAKE
- **Other names:** Fontana Fire/Rescue
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760425375
- **Legal business name:** VILLAGE OF FONTANA-ON-GENEVA LAKE
- **Authorized official:** DENNIS LEE MARTIN (ADMINISTRATOR)
- **Authorized official phone:** (262) 275-6136

## Contact information

- **Practice address:** 190 FONTANA BOULEVARD, FONTANA, WI 53125-1000
- **Practice address phone:** (262) 275-2131
- **Practice address fax:** (262) 275-2257
- **Mailing address:** POST OFFICE BOX 200, 175 VALLEY VIEW DRIVE, FONTANA, WI 53125-1192
- **Mailing address phone:** (262) 275-6136
- **Mailing address fax:** (262) 275-8088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000137 | WI | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 07/10/2024