Organization
CITY OF SEYMOUR
Active
Other names
Seymour Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
328 NORTH MAIN STREET, SEYMOUR, WI 54165-1312
(920) 873-2209
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6000322
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41334400
—
WI
01
—
791590522
RAILROAD MEDICARE
WI
Enumeration date
03/07/2006
Last updated
11/06/2008
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