Organization
CITY OF PORT WASHINGTON
Active
Other names
City of Port Washington Fire Dept Ambulance, City of Port Washington Fire Dept
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEBOER (FIRE CHIEF)
(262) 284-2891
Entity
Organization
Contact information
Practice address
1540 WEST GRAND AVENUE, PORT WASHINGTON, WI 53074
(262) 284-3962
Mailing address
1540 WEST GRAND AVENUE, PORT WASHINGTON, WI 53074
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
08/17/2026
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