Bloomfield Genoa City Fire & Rescue

LBN: Bloomfield Genoa City Fire & Rescue
Bloomfield Genoa City Fire & Rescue is an health care organization with primary practice located at N 1113 Clover Rd. , Pell Lake WI 53157. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Bloomfield Genoa City Fire & Rescue can be contacted via phone (262) 279-2033, or through Poltermann, Brad via phone (262) 279-2033.

Contact Information

Primary practice address
N 1113 Clover Rd. Pell Lake WI 53157
Phone: (262) 279-2033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poltermann, Brad
Phone: (262) 279-2033

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 6001223 Wisconsin

Profile Details

NPI number 1558444828
LBN Legal business name Bloomfield Genoa City Fire & Rescue
DBA Doing business as
Authorized official Poltermann, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558444828 NPPES
Wisconsin MEDICAID 396005800001
Wisconsin Other 39600580018

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