# OWEN-WITHEE COMMUNITY AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1295788453
- **Authorized official:** RICK NELSON (EMS CHIEF)
- **Authorized official phone:** (715) 229-2652

## Contact information

- **Practice address:** 427 E 3RD ST, OWEN, WI 54460-9746
- **Practice address phone:** (715) 229-2652
- **Mailing address:** PO BOX 36, OWEN, WI 54460-0036

## Taxonomy

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

## Other

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