Provider Demographics
NPI:1003687708
Name:CITY OF REEDSBURG CITY CLERK-TREASURER
Entity type:Organization
Organization Name:CITY OF REEDSBURG CITY CLERK-TREASURER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:T
Authorized Official - Last Name:KOWALKE
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:608-524-3074
Mailing Address - Street 1:230 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-1909
Mailing Address - Country:US
Mailing Address - Phone:608-524-3074
Mailing Address - Fax:608-768-0907
Practice Address - Street 1:230 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1909
Practice Address - Country:US
Practice Address - Phone:608-524-3074
Practice Address - Fax:608-768-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport