# TOWN OF CONOVER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Town of Conover Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063744639
- **Authorized official:** MICHAEL B MERGEN PARAMEDIC, BSBN (GM)
- **Authorized official phone:** (320) 209-8125

## Contact information

- **Practice address:** 4665 COUNTY K E, CONOVER, WI 54519-0115
- **Practice address phone:** (715) 479-8688
- **Practice address fax:** (715) 479-8688
- **Mailing address:** PO BOX 627, ALBANY, MN 56307-0627
- **Mailing address phone:** (320) 209-8125
- **Mailing address fax:** (877) 715-7608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6011195 | WI | Yes |

## Other

- **Enumeration date:** 02/08/2010
- **Last updated:** 02/08/2010