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Village Of Salem Lakes Kenosha County

Village Of Salem Lakes Kenosha County is a health care provider in Salem, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 11252 254th Ct, Trevor, WI 53179-9138, US
Practice Location Phone262-843-2439
Practice Location Fax
Legal Business NameVILLAGE OF SALEM LAKES KENOSHA COUNTY
Other Organization NameSALEM LAKES FIRE/RESCUE
Other Organization Name TypeDoing Business As Name
NPI ?1144274648
Entity TypeOrganization
Enumeration Date ? May 19, 2006
Last Update Date ? Mar 17, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Village Of Salem Lakes Kenosha County

SpecialtySpecializationLicenseLicense State
AmbulanceLand Transport

legacy-id-icon Legacy Provider IDs of Village Of Salem Lakes Kenosha County

Provider IdIssuer StateIssuer TypeIssuer
=========OtherTRICARE
000081041OtherADVOCARE MCHMO
=========018OtherVALLEY HEALTH PLAN
=========018OtherBCBS
=========001IllinoisMedicaid
41360300WisconsinMedicaid

official-icon Authorized Official of Village Of Salem Lakes Kenosha County

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Village Of Salem Lakes Kenosha County's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mike Slover
Authorized Official Title/PositionCHIEF
Authorized Official Phone Number262-843-2439