Provider Demographics
NPI:1255447462
Name:VILLAGE OF MCFARLAND
Entity type:Organization
Organization Name:VILLAGE OF MCFARLAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLAFER
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:608-838-3152
Mailing Address - Street 1:POST OFFICE BOX 110
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558
Mailing Address - Country:US
Mailing Address - Phone:608-838-3152
Mailing Address - Fax:608-838-3619
Practice Address - Street 1:5915 MILWAUKEE STREET
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558
Practice Address - Country:US
Practice Address - Phone:608-838-3152
Practice Address - Fax:608-838-3619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI505661OtherCOMMERCIAL
WI41311500Medicaid
WI41311500Medicaid