# MISHICOT AREA AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1255468955
- **Authorized official:** KRISTY E REYNOLDS (SERVICE DIRECTOR)
- **Authorized official phone:** (920) 255-4235

## Contact information

- **Practice address:** 214 SOUTH MAIN STREET, MISHICOT, WI 54228
- **Practice address phone:** (920) 255-4235
- **Practice address fax:** (920) 755-2345
- **Mailing address:** PO BOX 214, MISHICOT, WI 54228-0214
- **Mailing address phone:** (920) 255-4235
- **Mailing address fax:** (920) 755-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 601234 | WI | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 09/25/2024