Organization
LEBANON FIRE DEPT EMERGENCY MEDICAL
Active
Other names
Lebanon EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE UECKER (DIRECTOR)
(920) 925-3846
Entity
Organization
Contact information
Practice address
N1738 MAIN ST, LEBANON, WI 53047
(920) 925-3846
Mailing address
PO BOX 82, LEBANON, WI 53047-0082
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042326
HEALTH ALLIANCE
—
01
—
1012448
PHYSICIAN'S PLUS
—
01
—
41338500
HIRSP
WI
05
—
41338500
—
WI
01
—
WI0100
JOHN DEERE
—
Enumeration date
05/23/2006
Last updated
08/22/2020
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