Organization
XTREME CARE EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE PINKALL (OWNER)
(920) 296-8165
Entity
Organization
Contact information
Practice address
171 S JOHNSON ST, BERLIN, WI 54923-2214
(920) 296-8165
Mailing address
W1662 NORTH ST, GREEN LAKE, WI 54941-9029
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41361000
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/19/2006
Last updated
08/22/2020
Update your record
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