# LAKE MILLS EMERGENCY MEDICAL SERVICES INC.

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

## Provider details

- **NPI number:** 1538293949
- **Authorized official:** DEREK BLOMGREN (TREASURER)
- **Authorized official phone:** (920) 285-6393

## Contact information

- **Practice address:** 603 E LAKE ST, LAKE MILLS, WI 53551-1738
- **Practice address phone:** (920) 648-5888
- **Practice address fax:** (920) 648-8627
- **Mailing address:** 603 E LAKE ST, PO BOX 162, LAKE MILLS, WI 53551-1738
- **Mailing address phone:** (920) 648-5888
- **Mailing address fax:** (920) 648-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 60-1031 | WI | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 02/10/2022