TOWN OF BROOKFIELD NPI 1063529790

NPI Information

NPI: 1063529790
Provider Name: TOWN OF BROOKFIELD

Doing Business As: TOWN OF BROOKFIELD FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
645 JANACEK RD
BROOKFIELD, WI
ZIP 53045
Phone: (262) 796-3788
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TOWN OF BROOKFIELD is a land transport ambulance in Brookfield, WI. TOWN OF BROOKFIELD NPI is 1063529790. The provider is registered as an organization entity type.
The provider Is Doing Business As Town Of Brookfield Fire Department.

The provider's business location address is:

645 JANACEK RD
BROOKFIELD, WI
ZIP 53045-052
Phone: (262) 796-3788

The provider's authorized official is David Sulik .
The authorized official title is Billing Manager and has the following contact phone number (262) 375-9610.

The CLIA number assigned to this NPI record is 52D0960288 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 10/10/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41349500	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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