Organization
TOWN OF LAPOINTE
Active
Other names
Madeline Island Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L NELSON (ADM. ASSISTANT/DEPUTY CLERK)
(715) 747-6913
Entity
Organization
Contact information
Practice address
240 BIG BAY RD, LA POINTE, WI 54850-0270
(715) 747-6913
Mailing address
240 BIG BAY RD, P.O. BOX 270, LA POINTE, WI 54850-0270
(715) 747-6913
(715) 747-6654
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081670
MEDICARE
WI
01
—
1730282-00
MINNESOTA HEALTH CARE PRO
MN
05
—
41356900
—
WI
01
—
6528736
CALIFORNIA MEDICAID
CA
Enumeration date
12/19/2007
Last updated
02/16/2011
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