# VILLAGE OF CLEAR LAKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clear Lake Area Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528011657
- **Authorized official:** MISTY WOOD RN (DIRECTOR/RN)
- **Authorized official phone:** (602) 670-1386

## Contact information

- **Practice address:** 457 3RD AVE, CLEAR LAKE, WI 54005-8905
- **Practice address phone:** (715) 263-2804
- **Mailing address:** PO BOX 215, CLEAR LAKE, WI 54005-0215

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 01/06/2025