Organization
SAUK PRAIRIE AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CODY (PRESIDENT)
(608) 643-4183
Entity
Organization
Contact information
Practice address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-4183
Mailing address
110 WASHINGTON ST, SAUK CITY, WI 53583-1131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012199
PHYSICIAN'S PLUS
—
01
—
41318100
HIRSP
WI
05
—
41318100
—
WI
01
—
8181880
MEDICA
—
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/18/2006
Last updated
08/22/2020
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