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Contact Information

VILLAGE OF CAMPBELLSPORT
548 E MAIN ST
CAMPBELLSPORT, WI53010
 Phone: 920-533-5266
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for VILLAGE OF CAMPBELLSPORT

NPI # 1265546600
LBN Legal business name VILLAGE OF CAMPBELLSPORT
Authorized official DAVID SULIK - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2006
Last updated 10/10/2007 - About 19 years ago
Identifiers
WI Medicaid 41327600
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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