Organization · Type 2 NPI

City of Port Washington

Land Ambulance · Port Washington, WI

NPI number 1508810102 Active

Practice location

1540 West Grand Avenue
Port Washington, WI 53074

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	None listed

Land Ambulance: Definition to come...

NPI record

NPI: 1508810102
Entity type: Organization (Type 2)
Issued: May 19, 2006
Last updated: Aug 17, 2026
Status: Active

Other names

<unavail>
City of Port Washington Fire Dept · doing business as
City of Port Washington Fire Dept Ambulance · doing business as

Authorized official

Joseph Deboer
Fire Chief
(262) 284-2891

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1508810102

City of Port Washington's National Provider Identifier is 1508810102, issued on May 19, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Port Washington, WI. The record was last updated on Aug 17, 2026.