# CORNELL AREA AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1659560449
- **Authorized official:** AMY J. CLARK (OPERATIONS MANAGER)
- **Authorized official phone:** (715) 828-1258

## Contact information

- **Practice address:** 412 S 3RD ST, CORNELL, WI 54732-8303
- **Practice address phone:** (715) 239-3346
- **Mailing address:** PO BOX 3, CORNELL, WI 54732-0003
- **Mailing address phone:** (715) 239-3346

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 09/18/2024