Organization
MANAWA RURAL FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN BESSETTE (SECRETARY TREASURER)
(920) 596-2593
Entity
Organization
Contact information
Practice address
500 S BRIDGE ST, MANAWA, WI 54949-9533
(920) 596-2593
Mailing address
500 S BRIDGE ST, PO BOX 953, MANAWA, WI 54949-9533
(920) 596-2593
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41310500
—
WI
Enumeration date
05/23/2007
Last updated
12/14/2009
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