LEBANON FIRE DEPT EMERGENCY MEDICAL; NPI #1205881786

Contact Information

LEBANON FIRE DEPT EMERGENCY MEDICAL

N1738 MAIN ST
LEBANON, WI 53047

Phone: 920-925-3846
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LEBANON FIRE DEPT EMERGENCY MEDICAL

NPI Number 1205881786

LBN Legal business name LEBANON FIRE DEPT EMERGENCY MEDICAL

Authorized official MIKE UECKER - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/23/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

WI	Medicaid	41338500
	Other	042326	HEALTH ALLIANCE
	Other	WI0100	JOHN DEERE
	Other	1012448	PHYSICIAN'S PLUS
WI	Other	41338500	HIRSP

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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