Provider Demographics
NPI:1699859975
Name:CITY OF OAK CREEK
Entity Type:Organization
Organization Name:CITY OF OAK CREEK
Other - Org Name:CITY OF OAK CREEK FIRE DEPT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SATULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-768-6555
Mailing Address - Street 1:7000 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-1450
Mailing Address - Country:US
Mailing Address - Phone:414-570-5630
Mailing Address - Fax:414-570-5631
Practice Address - Street 1:7000 S 6TH ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1450
Practice Address - Country:US
Practice Address - Phone:414-570-5630
Practice Address - Fax:414-570-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60003303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3960022803011OtherBCBS PROVIDER ID
WI8100087OtherUHC PROVIDER ID
WI41319500Medicaid
WI590013446OtherMEDICARE RAILROAD PROV ID
WI41319500Medicaid