Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1972093706 |
||||
| LBN Legal business name | CITY OF FORT ATKINSON | ||||
| Authorized official | DARYL RAUSCH - (FIRE CHIEF) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 05/17/2018 | ||||
| Last updated | 07/23/2018 - About 8 years ago | ||||
| Identifiers |
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CITY OF FORT ATKINSON
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