Organization
CITY OF ELKHORN
Active
Parent organization
CITY OF ELKHORN
Other names
Elkhorn Fire Department, EMS Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF ELKHORN
Authorized official
DAVID J FLADTEN NREMT-P, CCEM (EMS CHIEF)
(262) 723-5080
Entity
Organization
Contact information
Practice address
13 S BROAD ST, ELKHORN, WI 53121-1702
(262) 723-5080
Mailing address
PO BOX 445, ELKHORN, WI 53121-0445
(262) 723-5080
(262) 723-2846
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000717
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41341500
—
WI
Enumeration date
06/02/2006
Last updated
08/25/2011
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