Johnson Creek Fire Ems Dept.
NPI #1609933001 in Johnson Creek, Wisconsin
Provider Information
- NPI Number
- 1609933001
- Entity Type
- Organization
- Organization Name
- Johnson Creek Fire Ems Dept.
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 125 DEPOT ST.
- City
- Johnson Creek
- State
- Wisconsin
- ZIP Code
- 53038-0451
- Phone
- (920) 699-2296
Authorized Official
- Name
- PAUL MODERACKI
- Title
- VILLAGE ADMINISTRATOR
- Phone
- (920) 699-2296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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