VILLAGE OF LISBON; NPI #1568475895

Contact Information

VILLAGE OF LISBON

N72 W24958 GOOD HOPE ROAD
SUSSEX, WI 53089

Phone: 262-538-3902
Fax: 262-820-2030
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 VILLAGE OF LISBON

NPI # 1568475895

LBN Legal business name VILLAGE OF LISBON

Authorized official KATHY NICKOLAUS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/15/2006

Last updated 06/06/2024 - More than a year ago

Identifiers

WI	License #	6001261
WI	Medicaid	41315400

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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