Organization
TOWN OF PHELPS
Active
Other names
Phelps Area Emergency Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE A SELIN EMT-INTERMEDIATE TEC (EMS SUPERVISOR)
(715) 545-3538
Entity
Organization
Contact information
Practice address
4499 TOWN HALL ROAD, PHELPS, WI 54554-9273
(715) 545-3538
(715) 545-3538
Mailing address
PO BOX 72140, CEDARBURG, WI 53012-7340
(262) 375-9610
(262) 375-9608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001374
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41356300
—
WI
01
—
52D0985331
CLIA NUMBER
WI
01
—
6001374
STATE LICENSE #
WI
Enumeration date
09/30/2006
Last updated
04/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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