# XTREME CARE EMS, LLC

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

## Provider details

- **NPI number:** 1235183930
- **Authorized official:** SUE PINKALL (OWNER)
- **Authorized official phone:** (920) 296-8165

## Contact information

- **Practice address:** 171 S JOHNSON ST, BERLIN, WI 54923-2214
- **Practice address phone:** (920) 296-8165
- **Mailing address:** W1662 NORTH ST, GREEN LAKE, WI 54941-9029

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020
