Oconomowoc Fire Department

LBN: City Of Oconomowoc
Oconomowoc Fire Department is an health care organization with primary practice located at 212 S Concord Rd , Oconomowoc WI 53066-3503. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. City Of Oconomowoc can be contacted via phone (262) 569-3223, or through Leidel, Glenn R via phone (262) 569-3223.

Contact Information

Primary practice address
212 S Concord Rd Oconomowoc WI 53066-3503
Fax: (262) 569-3297
Website:
Authorized official contact:
Name: Leidel, Glenn R

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 6001152 Wisconsin

Profile Details

NPI number 1194777359
LBN Legal business name City Of Oconomowoc
DBA Doing business as Oconomowoc Fire Department
Authorized official Leidel, Glenn R
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Feb 6th, 2009 - about 15 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 1194777359 NPPES
Wisconsin MEDICAID 41306800
Wisconsin Other 791590219

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