Organization
VILLAGE OF VALDERS
Active
Other names
Valders Fire Department Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS DALLAS (SERVICE DIRECTOR)
(920) 775-4526
Entity
Organization
Contact information
Practice address
103 EISENHOWER STREET, VALDERS, WI 54245
(920) 775-4526
(920) 775-9782
Mailing address
PO BOX 307, 103 EISENHOWER STREET, VALDERS, WI 54245-0307
(920) 775-4526
(920) 775-9782
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000469
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41338400
—
WI
Enumeration date
02/27/2007
Last updated
12/13/2013
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