Organization
ELLSWORTH AREA AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MORTH (DIRECTOR)
(715) 273-4879
Entity
Organization
Contact information
Practice address
151 S PLUM ST, ELLSWORTH, WI 54011-4137
(715) 273-4879
Mailing address
PO BOX 718, ELLSWORTH, WI 54011-0718
(336) 510-5894
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082275
ADVOCARE MCHMO
—
05
—
2525186-00
—
MN
01
—
396005590
TRICARE
—
01
—
41307200
HIRSP
WI
05
—
41307200
—
WI
01
—
7002089
PREFERRED ONE
—
01
—
8182337
MEDICA
—
Enumeration date
05/12/2006
Last updated
05/21/2026
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