VILLAGE OF BIG BEND NPI 1003840604

NPI Information

VILLAGE OF BIG BEND is a land transport ambulance in Big Bend, WI. VILLAGE OF BIG BEND NPI is 1003840604. The provider is registered as an organization entity type.
The provider Is Doing Business As Big Bend Fire Department.

The provider's business location address is:

W230S9185 NEVINS ST
BIG BEND, WI
ZIP 53103-722
Phone: (262) 662-2747
Fax: (262) 662-3751

The provider's authorized official is James Soneberg .
The authorized official title is Assistant Chief and has the following contact phone number (262) 662-2747.

The CLIA number assigned to this NPI record is 52D2017063 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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