Organization
WAUPACA AREA AMBULANCE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P PORREY (DIRECTOR/OPERATIONS)
(715) 258-8103
Entity
Organization
Contact information
Practice address
500 COUNTY ROAD K, WAUPACA, WI 54981-2300
(715) 258-8103
(715) 258-8879
Mailing address
500 COUNTY ROAD K, WAUPACA, WI 54981-2300
(715) 258-8103
(715) 258-8879
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
6000288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41316100
—
WI
Enumeration date
07/05/2006
Last updated
08/22/2020
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