Organization
COUNTY OF PORTAGE
Active
Other names
PORTAGE COUNTY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R BAKER (EM/EMS DIRECTOR)
(715) 346-1265
Entity
Organization
Contact information
Practice address
1516 CHURCH ST, STEVENS POINT, WI 54481-3501
(715) 346-1398
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(800) 244-2345
(800) 329-5274
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41323000
—
WI
Enumeration date
08/25/2006
Last updated
11/03/2014
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