Organization
DALLAS AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE ELIZABETH GULDVOG EMT BASIC (DIRECTOR)
(715) 455-1575
Entity
Organization
Contact information
Practice address
210 E NEWSOM ST, PRAIRIE FARM, WI 54762-9714
(715) 455-1575
Mailing address
210 E NEWSOM ST, PRAIRIE FARM, WI 54762-9714
(715) 455-1575
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
600-1120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41333400
—
WI
Enumeration date
10/27/2006
Last updated
06/18/2008
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