Organization
BRODHEAD AREA EMERGENCY MEDICAL
Active
Other names
Brodhead Area EMS
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN NIEDERMEIER (CAPTAIN)
(608) 897-4092
Entity
Organization
Contact information
Practice address
1003 12TH ST, BRODHEAD, WI 53520-1535
(608) 897-4092
Mailing address
PO BOX 14, BRODHEAD, WI 53520-0014
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081269
ADVOCARE MCHMO
—
01
—
1019784
PHYSICIAN'S PLUS
—
01
—
41345900
HIRSP
WI
05
—
41345900
—
WI
01
—
WI0100
JOHN DEERE
—
Enumeration date
05/19/2006
Last updated
12/31/2012
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