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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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