Organization
GORDON-WASCOTT EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY EBERT (DIRECTOR)
(715) 376-2640
Entity
Organization
Contact information
Practice address
14511 S HIGHWAY 53, GORDON, WI 54838-4800
(715) 376-2640
Mailing address
14511 S HWY 53, GORDON, WI 53838-4800
(715) 376-2640
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41326900
—
WI
Enumeration date
09/06/2006
Last updated
07/03/2014
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