Organization
PARDEEVILLE DISTRICT AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA RAE HENNING AEMT (DIRECTOR)
(608) 429-9089
Entity
Organization
Contact information
Practice address
501 GILLETTE ST, PARDEEVILLE, WI 53954
(608) 429-9089
Mailing address
PO BOX 396, PARDEEVILLE, WI 53954-0396
(608) 429-9089
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
6001377
WI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41356600
—
WI
Enumeration date
09/21/2006
Last updated
03/24/2020
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