LAUDERDALE-LAGRANGE FIRE DEPARTMENT, INC. (NPI# 1114924206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114924206 |
| Entity Type | Organization |
| Organization Name | LAUDERDALE-LAGRANGE FIRE DEPARTMENT, INC. |
| Practice Address |
W6080 Us Highway 12 Whitewater WI 53190-4033 |
| Practice Telephone | 2624958400 |
| Practice Fax Number | 2624958426 |
| Mailing Telephone | 2624954658 |
| Mailing Fax Number | 2624954686 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES TAYLOR (RESCUE CAPTAIN) |
| Authorized Official Telephone | 2624954658 |
| Authorized Official Credential | EMT-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
60-00522 | WI | Transportation Services |
| Street Address |
W6080 US HIGHWAY 12 |
| City | WHITEWATER |
| State | WI |
| Zip Code | 53190-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908608 | Shannon Bashor | Specialist/Technologist | 907 W Schwager Dr, Whitewater, WI 53190 | 2018-04-02 |
| 1922542695 | Terry Teipner | Counselor | 1173 W Main St Ste B, Whitewater, WI 53190 | 2016-12-14 |
| 1063800100 | Courtney Stefanski | Specialist/Technologist | 900 Schwager Drive, Whitewater, WI 53190 | 2014-12-23 |
| 1275942989 | Courtney Palubicki | Specialist/Technologist | 907 W. Schwager Drive, Whitewater, WI 53190 | 2014-08-06 |
| 1548491087 | Ann Marie Welch | Registered Nurse | 9640 N. County Line Rd, Whitewater, WI 53190 | 2009-07-31 |
| 1780801423 | Marsha Lee Mckinnon | Registered Nurse | 710 Starin Road, Whitewater, WI 53190 | 2007-04-20 |
| 1164599387 | Michael J Kellum | Emergency Medicine | W9575 Homburg Lane, Whitewater, WI 53190 | 2006-11-30 |
| 1861596371 | Brian William Veale | Chiropractor | 543 S Putnam St, Whitewater, WI 53190 | 2006-09-13 |
| 1629508908 | Erin Kae Clark | Specialist/Technologist | 800 W Main St, Williams Center 105g, Whitewater, WI 53190 | 2017-06-19 |
| 1952854150 | Rebecca K Hamman | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190 | 2016-07-25 |
| Find all providers in zip 53190 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1730540774 | Whitewater Fire Department Inc | Ambulance | 312 W Whitewater St, Whitewater, WI 53190-1940 | 2016-03-18 |
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| Find all providers with the same taxonomy | ||||
| City | WHITEWATER |
| Zip Code | 53190 |
Please comment or provide details below to improve the information on LAUDERDALE-LAGRANGE FIRE DEPARTMENT, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.