# NORTH LAND MUNICIPAL AMBULANCE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093904393
- **Authorized official:** MRS. RAEANN LOUISE ALLEN (MANAGER)
- **Authorized official phone:** (715) 472-2388

## Contact information

- **Practice address:** 636 S MAIN ST, LUCK, WI 54853-9036
- **Practice address phone:** (715) 472-2388
- **Practice address fax:** (715) 472-8411
- **Mailing address:** PO BOX 155, 636 SOUTH MAIN ST, LUCK, WI 54853-0155
- **Mailing address phone:** (715) 472-2388
- **Mailing address fax:** (715) 472-8411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6001115 | WI | — |
| 3416L0300X | Land Ambulance | 6001122 | WI | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 02/21/2008