Organization
OWEN-WITHEE COMMUNITY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK NELSON (EMS CHIEF)
(715) 229-2652
Entity
Organization
Contact information
Practice address
427 E 3RD ST, OWEN, WI 54460-9746
(715) 229-2652
Mailing address
PO BOX 36, OWEN, WI 54460-0036
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082662
ADVOCARE MCHMO
—
01
—
1012423
PHYSICIAN'S PLUS
—
05
—
41325800
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/18/2006
Last updated
08/22/2020
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