Organization
CAMP DOUGLAS RESCUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHARLES NEWLUN AEMT (EMS CHIEF)
(608) 427-3809
Entity
Organization
Contact information
Practice address
302 CENTER ST, CAMP DOUGLAS, WI 54618
(608) 427-6969
Mailing address
PO BOX 235, CAMP DOUGLAS, WI 54618-0235
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084544
ADVOCARE MCHMO
—
01
—
018092
HEALTH ALLIANCE
—
01
—
1012287
PHYSICIAN'S PLUS
—
05
—
391210787001
—
IL
05
—
41345500
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/24/2006
Last updated
01/02/2020
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