Organization
TOWNSHIPS OF DOTY RIVERVIEW MOUNTAIN AMBULANCE SERVICE
Active
Other names
Mountain Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SCHULTZ (ADMINISTRATOR)
(715) 276-6669
Entity
Organization
Contact information
Practice address
14336 HIGHWAY 32/64, MOUNTAIN, WI 54149
(715) 276-6669
Mailing address
PO BOX 85, MOUNTAIN, WI 54149-0085
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000088392
ADVOCARE MCHMO
—
01
—
1950
NETWORK HEALTH PLAN
—
01
—
41341600
HIRSP
WI
05
—
41341600
—
WI
01
—
WI0100
JOHN DEERE
—
Enumeration date
05/23/2006
Last updated
07/07/2010
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