Provider Demographics
NPI:1952134231
Name:VILLAGE OF RICHFIELD
Entity type:Organization
Organization Name:VILLAGE OF RICHFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:262-623-6739
Mailing Address - Street 1:4166 HUBERTUS RD
Mailing Address - Street 2:
Mailing Address - City:HUBERTUS
Mailing Address - State:WI
Mailing Address - Zip Code:53033-9719
Mailing Address - Country:US
Mailing Address - Phone:262-628-1601
Mailing Address - Fax:262-628-9350
Practice Address - Street 1:4166 HUBERTUS RD
Practice Address - Street 2:
Practice Address - City:HUBERTUS
Practice Address - State:WI
Practice Address - Zip Code:53033-9719
Practice Address - Country:US
Practice Address - Phone:262-628-1601
Practice Address - Fax:262-628-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport