Organization
CITY OF PORT WASHINGTON
Active
Other names
City of Port Washington Fire Dept Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MITCHELL (CHIEF)
(262) 284-2891
Entity
Organization
Contact information
Practice address
104 W WASHINGTON ST, PORT WASHINGTON, WI 53074-1830
(262) 284-2891
Mailing address
PO BOX 307, PORT WASHINGTON, WI 53074-0307
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005721
VITAS HEALTHCARE CORP
—
01
—
000082642
ADVOCARE MCHMO
—
01
—
015915
HEALTH ALLIANCE
—
01
—
1014456
PHYSICIAN'S PLUS
—
01
—
41305000
HIRSP
WI
05
—
41305000
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/19/2006
Last updated
02/23/2012
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