Provider Demographics
NPI:1386750776
Name:CITY OF ST FRANCIS
Entity type:Organization
Organization Name:CITY OF ST FRANCIS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:POPLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-483-4424
Mailing Address - Street 1:4235 S NICHOLSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-5839
Mailing Address - Country:US
Mailing Address - Phone:414-483-4424
Mailing Address - Fax:414-483-1117
Practice Address - Street 1:3400 E HOWARD AVE
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-4732
Practice Address - Country:US
Practice Address - Phone:414-483-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41358800Medicaid
WI000085646Medicare PIN