Organization
BIRNAMWOOD AREA AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA J VOLLMAR (BILLING SECRETARY)
(715) 623-3633
Entity
Organization
Contact information
Practice address
365 BIRCH ST, BIRNAMWOOD, WI 54414-9208
(715) 449-3133
Mailing address
700 EDISON ST, ANTIGO, WI 54409-1955
(715) 623-3633
(715) 627-4761
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
60-00056
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41326600
—
WI
01
—
P00299813
RAILROAD MEDICARE
WI
Enumeration date
06/17/2006
Last updated
08/22/2020
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