Organization
CITY OF DE PERE
Active
Parent organization
CITY OF DE PERE
Other names
City of De Pere Ambulance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF DE PERE
Authorized official
MR. DENNIS L. RUBIN (FIRE CHIEF)
(920) 339-4085
Entity
Organization
Contact information
Practice address
400 LEWIS ST, DE PERE, WI 54115-2717
(920) 339-4085
(920) 403-7883
Mailing address
400 LEWIS ST, DE PERE, WI 54115-2717
(920) 339-4085
(336) 510-5894
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000083192
MEDICARE PTAN
WI
05
—
41328800
—
WI
Enumeration date
10/18/2005
Last updated
09/22/2025
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