Organization
CITY OF BEAVER DAM ET AL
Active
Other names
Beaver Dam Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SOMERS (FINANCE DIRECTOR)
(920) 887-4600
Entity
Organization
Contact information
Practice address
205 S LINCOLN AVE, BEAVER DAM, WI 53916-2323
(920) 887-4600
Mailing address
205 S LINCOLN AVE, BEAVER DAM, WI 53916-2323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41319900
—
WI
01
—
590094661
RAILROAD MEDICARE
WI
Enumeration date
05/28/2006
Last updated
09/03/2009
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