Organization
CADDOT COMMUNITY AMBULANCE VILL OF CADDOT-ARTHUR-GOETZ-SIGEL
Active
Other names
Cadott Community Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
TIM WALTERS (MANAGER)
(715) 289-3621
Entity
Organization
Contact information
Practice address
436 E HARTFORD ST, CADOTT, WI 54727
(715) 289-3621
Mailing address
PO BOX 7, CADOTT, WI 54727-0007
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000088107
ADVOCARE MCHMO
—
01
—
1012394
PHYSICIAN'S PLUS
—
01
—
38229
NETWORK HEALTH PLAN
—
05
—
41340800
—
WI
01
—
8182554
MEDICA
—
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/23/2006
Last updated
06/20/2008
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