Organization
SPRING VALLEY AREA AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOD JORGENSON (DIRECTOR)
(715) 778-4452
Entity
Organization
Contact information
Practice address
S 407 NEWMAN AVE, SPRING VALLEY, WI 54767
(715) 778-4452
Mailing address
PO BOX 387, SPRING VALLEY, WI 54767-0387
(715) 778-4452
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081802
ADVOCARE MCHMO
—
01
—
41317000
HIRSP
WI
05
—
41317000
—
WI
01
—
7040952
PREFERRED ONE
—
01
—
8181704
MEDICA
—
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/17/2006
Last updated
07/19/2013
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