Organization · Type 2 NPI

Village of Jackson

Land Ambulance · Jackson, WI

NPI number 1255501672 Active

Practice location

W204N16722 Jackson Dr
Jackson, WI 53037-9796

Fax (262) 677-9471

Mailing address

PO Box 72140
Cedarburg, WI 53012-7340

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X38476 (WI)

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About NPI 1255501672

Village of Jackson's National Provider Identifier is 1255501672, issued on Mar 3, 2008. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Jackson, WI. The record was last updated on Dec 15, 2010.