Provider Demographics
NPI:1164657714
Name:EDGERTON FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:EDGERTON FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-884-3327
Mailing Address - Street 1:621 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:WI
Mailing Address - Zip Code:53534-1562
Mailing Address - Country:US
Mailing Address - Phone:608-884-3327
Mailing Address - Fax:
Practice Address - Street 1:621 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:WI
Practice Address - Zip Code:53534-1562
Practice Address - Country:US
Practice Address - Phone:608-884-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport