Organization
VILLAGE OF JOHNSON CREEK
Active
Other names
Johnson Creek Fire & EMS Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM WHITHAM (FIRE CHIEF)
(920) 699-3456
Entity
Organization
Contact information
Practice address
120 S WATERTOWN ST, JOHNSON CREEK, WI 53038-9510
(920) 699-5258
Mailing address
PO BOX 529, 120 SOUTH WATERTOWN STREET, JOHNSON CREEK, WI 53038-0529
(920) 699-3456
(920) 699-3458
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41307600
—
WI
01
—
519077
COMMERCIAL
WI
Enumeration date
08/19/2006
Last updated
02/16/2010
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