Organization
DEER-GROVE EMS DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS ROBINSON (CHIEF)
(608) 839-5658
Entity
Organization
Contact information
Practice address
4030 COUNTY RD N, COTTAGE GROVE, WI 53527-8305
(608) 839-5658
Mailing address
4030 COUNTY RD N, COTTAGE GROVE, WI 53527-8305
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045853
—
NJ
01
—
1041104
PHYSICIAN'S PLUS
—
01
—
41309000
HIRSP
WI
01
—
41309000
MANAGED HEALTH MAHMO
—
05
—
41309000
—
WI
01
—
WI0101
JOHN DEERE/JOHN ALDEN
—
Enumeration date
05/12/2006
Last updated
08/22/2020
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