Fox Lake Community Fire Association

LBN: Fox Lake Community Fire Association
Fox Lake Community Fire Association is an health care organization with primary practice located at 246 E State St , Fox Lake WI 53933-8027. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Fox Lake Community Fire Association can be contacted via phone (920) 928-6115, or through Kottke, Russell via phone (920) 928-6115.

Contact Information

Primary practice address
246 E State St Fox Lake WI 53933-8027
Phone: (920) 928-6115
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kottke, Russell
Phone: (920) 928-6115

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 6000139 Wisconsin

Profile Details

NPI number 1184671448
LBN Legal business name Fox Lake Community Fire Association
DBA Doing business as
Authorized official Kottke, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1184671448 NPPES
Wisconsin MEDICAID 41314800
Wisconsin Other 41314800
Wisconsin Other 41314800

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