Organization
NORTHEAST WISCONSIN TRANSPORTATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE LACROSSE (PRESIDENT)
(920) 825-7411
Entity
Organization
Contact information
Practice address
9431 COUNTY ROAD D, FORESTVILLE, WI 54213
(920) 825-7411
Mailing address
214 CLOVER AVE, EAST PEORIA, IL 61611-4609
(920) 825-7411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
41440500
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41440500
—
WI
Enumeration date
06/10/2008
Last updated
06/10/2008
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