Organization
MISHICOT AREA AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY E REYNOLDS (SERVICE DIRECTOR)
(920) 255-4235
Entity
Organization
Contact information
Practice address
214 SOUTH MAIN STREET, MISHICOT, WI 54228
(920) 255-4235
(920) 755-2345
Mailing address
PO BOX 214, MISHICOT, WI 54228-0214
(920) 255-4235
(920) 755-2345
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
601234
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41309700
—
WI
Enumeration date
02/28/2007
Last updated
09/25/2024
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