Organization
PITTSVILLE VOL FIRE DEPT INC
Active
Other names
Pittsville Fire Dept Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD MINOR (CHIEF)
(715) 884-6514
Entity
Organization
Contact information
Practice address
5388 4TH AVE, PITTSVILLE, WI 54466-9342
(715) 884-6514
Mailing address
PO BOX 241, PITTSVILLE, WI 54466-0241
(715) 884-6514
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000088307
ADVOCARE MC HMO
—
01
—
1012447
PHYSICIAN'S PLUS
—
05
—
2165155-00
—
MN
05
—
41341100
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/13/2006
Last updated
10/22/2012
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