Organization
VILLAGE NORTH FOND DU LAC
Active
Other names
North Fond du Lac EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE FLAHERTY (FIRE CHIEF)
(920) 929-3765
Entity
Organization
Contact information
Practice address
16 GARFIELD ST, NORTH FOND DU LAC, WI 54937-1387
(920) 929-3954
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082921
ADVOCARE
—
01
—
1022683
PHYSICIAN'S PLUS
—
01
—
1962
NETWORK HEALTH PLAN
—
05
—
41327400
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/20/2006
Last updated
04/02/2026
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