Organization
TRI-STATE REGIONAL AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TORNSTROM (EXECUTIVE DIRECTOR)
(608) 782-2282
Entity
Organization
Contact information
Practice address
122 S ILLINOIS ST, PRAIRIE DU CHIEN, WI 53821-1638
(608) 782-2282
Mailing address
235 CAUSEWAY BLVD, LA CROSSE, WI 54603-3119
(608) 519-3345
(608) 782-4452
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41476300
—
WI
Enumeration date
04/04/2007
Last updated
03/17/2018
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