# BRODHEAD AREA EMERGENCY MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brodhead Area EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366495269
- **Authorized official:** BRYAN NIEDERMEIER (CAPTAIN)
- **Authorized official phone:** (608) 897-4092

## Contact information

- **Practice address:** 1003 12TH ST, BRODHEAD, WI 53520-1535
- **Practice address phone:** (608) 897-4092
- **Mailing address:** PO BOX 14, BRODHEAD, WI 53520-0014

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/31/2012