Organization
VILLAGE OF WATERFORD
Active
Other names
Waterford Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA EWALD (VILLAGE ADMINISTRATOR)
(262) 534-7912
Entity
Organization
Contact information
Practice address
122 N 2ND ST, WATERFORD, WI 53185-4314
(262) 375-9610
(262) 375-9608
Mailing address
123 N RIVER ST, WATERFORD, WI 53185-4149
(262) 375-9610
(262) 375-9608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70010500
—
WI
Enumeration date
02/16/2007
Last updated
09/28/2016
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