Organization
VILLAGE OF CAMP DOUGLAS
Active
Other names
Camp Douglas Fire and Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHARLES NEWLUN AEMT (FIRE CHIEF)
(608) 427-3809
Entity
Organization
Contact information
Practice address
304 CENTER ST, CAMP DOUGLAS, WI 54618-2800
(608) 427-3809
Mailing address
PO BOX 200, CAMP DOUGLAS, WI 54618-0200
(608) 542-0346
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6604999
BLS EMS LICENSE
WI
Enumeration date
10/17/2019
Last updated
06/03/2020
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