# DALLAS AREA AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1386720159
- **Authorized official:** MRS. ARLENE ELIZABETH GULDVOG EMT BASIC (DIRECTOR)
- **Authorized official phone:** (715) 455-1575

## Contact information

- **Practice address:** 210 E NEWSOM ST, PRAIRIE FARM, WI 54762-9714
- **Practice address phone:** (715) 455-1575
- **Mailing address:** 210 E NEWSOM ST, PRAIRIE FARM, WI 54762-9714
- **Mailing address phone:** (715) 455-1575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 600-1120 | WI | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 06/18/2008