Organization
NORTH LAND MUNICIPAL AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAEANN LOUISE ALLEN (MANAGER)
(715) 472-2388
Entity
Organization
Contact information
Practice address
636 S MAIN ST, LUCK, WI 54853-9036
(715) 472-2388
(715) 472-8411
Mailing address
PO BOX 155, 636 SOUTH MAIN ST, LUCK, WI 54853-0155
(715) 472-2388
(715) 472-8411
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
6001115
WI
3416L0300X
Land Ambulance
Primary
6001122
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41337700
—
WI
Enumeration date
10/23/2007
Last updated
02/21/2008
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