Random Lake Fire Department

LBN: Random Lake Fire Department
Random Lake Fire Department is an health care organization with primary practice located at 718 N Spring St , Random Lake WI 53075-1725. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Random Lake Fire Department can be contacted via phone (920) 994-9817, or through Werner, Blaine via phone (920) 994-9817.

Contact Information

Primary practice address
718 N Spring St Random Lake WI 53075-1725
Phone: (920) 994-9817
Fax: (920) 994-2678
Website:
Map and Directions
Authorized official contact:
Name: Werner, Blaine
Phone: (920) 994-9817

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 60-01170 Wisconsin

Profile Details

NPI number 1174514103
LBN Legal business name Random Lake Fire Department
DBA Doing business as
Authorized official Werner, Blaine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 22nd, 2020 - about 6 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 1174514103 NPPES
Wisconsin MEDICAID 41310700

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