Provider Demographics
NPI:1922051960
Name:CHIPPEWA FIRE PROTECTION DISTRICT INC.
Entity Type:Organization
Organization Name:CHIPPEWA FIRE PROTECTION DISTRICT INC.
Other - Org Name:CHIPPEWA FIRE DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-723-5488
Mailing Address - Street 1:13143 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-7377
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13143 30TH AVE
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-7377
Practice Address - Country:US
Practice Address - Phone:715-723-5488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41345600OtherHIRSP
8182696OtherMEDICA
WI0101OtherJOHN DEERE
WI41345600Medicaid
WI41345600OtherWI RENAL PROGRAM
000085983OtherADVOCARE MCHMO
MN790268900Medicaid
282309400OtherWORKER'S COMPENSATION
=========015OtherBCBS
WI41345600Medicaid
IL=========001Medicaid
MN790268900Medicaid
WI0101OtherJOHN DEERE