Provider Demographics
NPI:1427143288
Name:OREGON AREA FIRE-EMS DISTRICT
Entity type:Organization
Organization Name:OREGON AREA FIRE-EMS DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. ASST.
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:JELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-835-5587
Mailing Address - Street 1:131 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-1401
Mailing Address - Country:US
Mailing Address - Phone:608-835-5587
Mailing Address - Fax:608-835-8342
Practice Address - Street 1:131 SPRING ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-1401
Practice Address - Country:US
Practice Address - Phone:608-835-5587
Practice Address - Fax:608-835-8342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60012163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41307900Medicaid
WI41307900Medicaid