Provider Demographics
NPI:1821616574
Name:CITY OF CEDARBURG
Entity Type:Organization
Organization Name:CITY OF CEDARBURG
Other - Org Name:CITY OF CEDARBURG
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE DIRECTOR/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-376-3907
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-0049
Mailing Address - Country:US
Mailing Address - Phone:262-375-7600
Mailing Address - Fax:262-375-7906
Practice Address - Street 1:W61N631 MEQUON AVE
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-2017
Practice Address - Country:US
Practice Address - Phone:262-375-7630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport