Fox Lake Community Fire Association is a health care provider in Fox Lake, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||246 E State St, Fox Lake, WI 53933-8027, US|
|Practice Location Phone||920-928-6115|
|Practice Location Fax|
|Legal Business Name||FOX LAKE COMMUNITY FIRE ASSOCIATION|
|Enumeration Date ?||May 30, 2006|
|Last Update Date ?||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Ambulance||Transportation Services||Land Transport||6000139||Wisconsin|
|Provider Id||Issuer State||Issuer Type||Issuer|
|41314800||Wisconsin||Other||WISCONSIN RENAL PROGRAM|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Fox Lake Community Fire Association's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Russell Kottke|
|Authorized Official Title/Position||SECRETARY TREASURER|
|Authorized Official Phone Number||920-928-6115|