# SAUK PRAIRIE AMBULANCE ASSOCIATION

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

## Provider details

- **NPI number:** 1215980453
- **Authorized official:** MIKE CODY (PRESIDENT)
- **Authorized official phone:** (608) 643-4183

## Contact information

- **Practice address:** 80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
- **Practice address phone:** (608) 643-4183
- **Mailing address:** 110 WASHINGTON ST, SAUK CITY, WI 53583-1131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/22/2020