FOX LAKE COMMUNITY FIRE ASSOCIATION (NPI# 1184671448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184671448 |
| Entity Type | Organization |
| Organization Name | FOX LAKE COMMUNITY FIRE ASSOCIATION |
| Practice Address |
246 E State St Fox Lake WI 53933-8027 |
| Mailing Address |
W8542 Laurel Hill Rd Fox Lake WI 53933-9739 |
| Practice Telephone | 9209286115 |
| Mailing Telephone | 9209286115 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RUSSELL KOTTKE (SECRETARY TREASURER) |
| Authorized Official Telephone | 9209286115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6000139 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41314800 | 05 | |
| WI | H.I.R.S.P. | 41314800 | 01 |
| WI | WISCONSIN RENAL PROGRAM | 41314800 | 01 |
| Street Address |
246 E STATE ST |
| City | FOX LAKE |
| State | WI |
| Zip Code | 53933-8027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389615 | Jodi Wray | Technician | 202 Booth St #202, Fox Lake, WI 53933 | 2019-10-30 |
| 1477079242 | Aeron Rachel Adams | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2017-08-14 |
| 1396952016 | Christopher Paul Brooks | Dentist | 608 W State St, Fox Lake, WI 53933 | 2007-05-16 |
| 1265513741 | Craig Edward Mahlum | Dentist | W10237 Lake Emily Road, Fox Lake, WI 53933 | 2006-10-18 |
| 1578100772 | Amy Denneau | Nurse Practitioner | W10237 Lake Emily Rd, Fox Lake, WI 53933 | 2019-12-06 |
| 1578810685 | Tina Brown | Licensed Practical Nurse | 211 Spring St, Fox Lake, WI 53933-8034 | 2012-08-08 |
| 1518928662 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 703 W State St, Fox Lake, WI 53933-9550 | 2006-03-29 |
| 1205827631 | Cindy B Hankes | Nurse Practitioner | 703 State St, Fox Lake, WI 53933-9550 | 2005-11-03 |
| 1366971681 | Rebecca Ann Mayer | Nurse Practitioner | 703 W State St, Fox Lake, WI 53933-9550 | 2017-06-09 |
| 1497897565 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 703 W State St, Fox Lake, WI 53933-9550 | 2007-02-13 |
| Find all providers in zip 53933 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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| 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.