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Bloomfield Genoa City Fire & Rescue
Land Ambulance in Pell Lake, Wisconsin
NPI 1558444828

Bloomfield Genoa City Fire & Rescue is a Land Ambulance based in Elmhurst, WI and is specialized in Land Transport. Bloomfield Genoa City Fire & Rescue practices in Pell Lake, WI. The NPI Number for Bloomfield Genoa City Fire & Rescue is 1558444828 and holds a License No. 6001223 (Wisconsin).

The current practice location address for Bloomfield Genoa City Fire & Rescue is N 1113 Clover Rd., Pell Lake, WI and can be reached out via phone at 262-279-2033.

Location: N 1113 Clover Rd., Pell Lake, WI, 60126-1508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558444828
Provider Name
Bloomfield Genoa City Fire & Rescue
Credential
Provider Entity Type
Organization
Address
N 1113 Clover Rd., Pell Lake, WI, 60126-1508
Phone Number
262-279-2033
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
396005800001 05 WI
39600580018 01 WI BCBS
institution
Provider Business Practice Location Address Details
Address
N 1113 Clover Rd.
City
Pell Lake
State
Wisconsin
Zip
53157
Phone Number
262-279-2033
Fax Number
person
Provider Business Mailing Address Details
Address
N 1113 Clover Rd.
City
Pell Lake
State
Wisconsin
Zip
53157
Phone Number
262-279-2033
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
6001223 (Wisconsin)
Definition
Definition to come...
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