# SPRING VALLEY AREA AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1417909193
- **Authorized official:** TOD JORGENSON (DIRECTOR)
- **Authorized official phone:** (715) 778-4452

## Contact information

- **Practice address:** S 407 NEWMAN AVE, SPRING VALLEY, WI 54767
- **Practice address phone:** (715) 778-4452
- **Mailing address:** PO BOX 387, SPRING VALLEY, WI 54767-0387
- **Mailing address phone:** (715) 778-4452

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 07/19/2013