VILLAGE OF CAMBRIA; NPI #1679784029

Contact Information

VILLAGE OF CAMBRIA

702 ELIZABETH STREET
CAMBRIA, WI 53923

Phone: 920-348-5501
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for VILLAGE OF CAMBRIA

NPI # 1679784029

LBN Legal business name VILLAGE OF CAMBRIA

Authorized official LORI KRATKY - (SECRETARY TREASURER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/25/2007

Last updated 04/20/2012 - About 14 years ago

Identifiers

WI	License #	6001091
WI	Medicaid	41325700

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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