Organization
VILLAGE OF CLEAR LAKE
Active
Other names
Clear Lake Area Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY WOOD RN (DIRECTOR/RN)
(602) 670-1386
Entity
Organization
Contact information
Practice address
457 3RD AVE, CLEAR LAKE, WI 54005-8905
(715) 263-2804
Mailing address
PO BOX 215, CLEAR LAKE, WI 54005-0215
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000083136
ADVOCARE MCHMO
—
01
—
41328500
HIRSP
WI
05
—
41328500
—
WI
01
—
8182723
MEDICA
—
Enumeration date
05/18/2006
Last updated
01/06/2025
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