Provider Demographics
NPI:1639285000
Name:ROCHESTER VOLUNTEER FIRE COMPANY
Entity type:Organization
Organization Name:ROCHESTER VOLUNTEER FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-534-3444
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:WI
Mailing Address - Zip Code:53167-0038
Mailing Address - Country:US
Mailing Address - Phone:262-534-3444
Mailing Address - Fax:262-534-2652
Practice Address - Street 1:31020 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:WI
Practice Address - Zip Code:53167
Practice Address - Country:US
Practice Address - Phone:262-534-3444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41355600Medicaid
WI41355600Medicaid
WI86404Medicare ID - Type Unspecified