<Unavail>

LBN: Random Lake Fire Department
<Unavail> is an health care organization with primary practice located at 718 N Spring St , Random Lake WI 53075-1726. 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) 994-4817.

Contact Information

Primary practice address
718 N Spring St Random Lake WI 53075-1726
Phone: (920) 994-9817
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Werner, Blaine
Phone: (920) 994-4817

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X Null

Profile Details

NPI number 1194639435
LBN Legal business name Random Lake Fire Department
DBA Doing business as <Unavail>
Authorized official Werner, Blaine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2026
Last updated Oct 2nd, 2026 - about 12.530034722222 days 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 1194639435 NPPES
Wisconsin MEDICAID 41310700
Wisconsin Other 014

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