institution
Random Lake Fire Department
Land Ambulance in Random Lake, Wisconsin
NPI 1174514103

Random Lake Fire Department is a Land Ambulance based in Random Lake, WI and is specialized in Land Transport. Random Lake Fire Department practices in Random Lake, WI. The NPI Number for Random Lake Fire Department is 1174514103 and holds a License No. 60-01170 (Wisconsin).

The current practice location address for Random Lake Fire Department is 718 N Spring St, Random Lake, WI and can be reached out via phone at 920-994-9817 and via fax at 920-994-2678.

Location: 718 N Spring St, Random Lake, WI, 53075-1725
institution
Provider Profile Details
NPI Number
1174514103
Provider Name
Random Lake Fire Department
Credential
Provider Entity Type
Organization
Address
718 N Spring St, Random Lake, WI, 53075-1725
Phone Number
920-994-9817
Fax Number
920-994-2678
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41310700 05 WI
institution
Provider Business Practice Location Address Details
Address
718 N Spring St
City
State
Zip
53075-1725
Phone Number
920-994-9817
Fax Number
920-994-2678
person
Provider Business Mailing Address Details
Address
718 N Spring St
City
State
Zip
53075-1725
Phone Number
920-994-9817
Fax Number
920-994-2678
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
60-01170 (Wisconsin)
Definition
Definition to come...
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