Organization
WESTERN BUFFALO COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MIKELSON (SECRETARY)
(608) 685-6279
Entity
Organization
Contact information
Practice address
310 S MAIN ST, ALMA, WI 54610-9705
(608) 685-6279
Mailing address
PO BOX 371, ALMA, WI 54610-0371
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
396995376019
WPS
—
05
—
41321100
—
WI
Enumeration date
05/19/2006
Last updated
08/22/2020
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