CITY OF KENOSHA NPI 1447308606

NPI Information

CITY OF KENOSHA is a land transport ambulance in Kenosha, WI. CITY OF KENOSHA NPI is 1447308606. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Kenosha Ambulance.

The provider's business location address is:

4810 60TH ST
KENOSHA, WI
ZIP 53144-451
Phone: (262) 653-4097
Fax: (262) 653-4107

The provider's authorized official is James Poltrock .
The authorized official title is Division Chief Of Ems and has the following contact phone number (262) 653-4097.

The enumeration date for this NPI number is 1/6/2007 and was last updated on 3/17/2018.

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

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