# CITY OF JEFFERSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JEFFERSON EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770697153
- **Authorized official:** SUSAN REINEN (EMS DIRECTOR)
- **Authorized official phone:** (920) 674-2751

## Contact information

- **Practice address:** 351 E RACINE ST, JEFFERSON, WI 53549-1648
- **Practice address phone:** (920) 674-2751
- **Mailing address:** PO BOX 547, WHEELING, IL 60090-0547
- **Mailing address phone:** (847) 305-5236

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 01/29/2025