Organization
BOYD EDSON DELMAR FD AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST EUGENE SUPPLE (AMBULANCE DIRECTOR)
(715) 667-3255
Entity
Organization
Contact information
Practice address
100 S OSHKOSH ST, BOYD, WI 54726
(715) 667-3255
(715) 667-3031
Mailing address
PO BOX 177, BOYD, WI 54726
(715) 667-3255
(715) 667-3031
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6000352
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41336400
—
WI
Enumeration date
11/02/2006
Last updated
08/22/2020
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