# SHULLSBURG AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1376506667
- **Authorized official:** MRS. MARY A. SPILLANE (SECRETARY/TREASURER)
- **Authorized official phone:** (563) 589-8850

## Contact information

- **Practice address:** 190 NORTH JUDGEMENT STREET, SHULLSBURG, WI 53586-0277
- **Practice address phone:** (608) 965-3719
- **Mailing address:** PO BOX 277, 190 JUDGEMENT STREET, SHULLSBURG, WI 53586-0277
- **Mailing address phone:** (608) 965-3719

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2006
- **Last updated:** 07/11/2007