Stone Bank Volunteer Fire

LBN: Stone Bank Volunteer Fire
Stone Bank Volunteer Fire is an health care organization with primary practice located at W335N7107 Stonebank Rd , Oconomowoc WI 53066-1407. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Stone Bank Volunteer Fire can be contacted via phone (262) 966-2414, or through Klokow, Mark G via phone (262) 966-2414.

Contact Information

Primary practice address
W335N7107 Stonebank Rd Oconomowoc WI 53066-1407
Fax: (262) 966-2831
Website:
Authorized official contact:
Name: Klokow, Mark G

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 6001211 Wisconsin

Profile Details

NPI number 1780632497
LBN Legal business name Stone Bank Volunteer Fire
DBA Doing business as
Authorized official Klokow, Mark G
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Sep 28th, 2012 - about 14 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 1780632497 NPPES
Wisconsin MEDICAID 41359600

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