Organization
TOWN OF BRISTOL
Active
Other names
Bristol Fire and Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PARKER (CHIEF)
(262) 857-2711
Entity
Organization
Contact information
Practice address
8301 198TH AVE, BRISTOL, WI 53104-9513
(262) 857-2711
(262) 857-2136
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-9515
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000385
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41355700
—
WI
01
—
590012077
MEDICARE RAILROAD
WI
Enumeration date
06/04/2006
Last updated
01/05/2010
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