Organization
CITY OF CUBA CITY
Active
Other names
Cuba City Area Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WIEDERHOLT (PRESIDENT)
(608) 744-8753
Entity
Organization
Contact information
Practice address
1013 SOUTH MAIN, CUBA CITY, WI 53807
(608) 744-8753
Mailing address
1031 S MAIN ST, CUBA CITY, WI 53807-1599
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082231
ADVOCARE MCHMO
—
01
—
099305
HEALTH ALLIANCE
—
01
—
1026785
PHYSICIAN'S PLUS
—
05
—
41357600
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/23/2006
Last updated
11/17/2014
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