# CITY OF FORT ATKINSON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF FORT ATKINSON
- **Other names:** Fort Atkinson Fire Department
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972093706
- **Legal business name:** CITY OF FORT ATKINSON
- **Authorized official:** DARYL A RAUSCH (FIRE CHIEF)
- **Authorized official phone:** (920) 563-7795

## Contact information

- **Practice address:** 124 MILWAUKEE AVE W, FORT ATKINSON, WI 53538
- **Practice address phone:** (920) 563-7795
- **Mailing address:** 124 MILWAUKEE AVE W, FORT ATKINSON, WI 53538-2020
- **Mailing address phone:** (920) 563-7795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6604847 | WI | Yes |

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 07/23/2018
