Organization
CITY OF DODGEVILLE
Active
Organization
CITY OF DODGEVILLE
Active
Other names
Dodgeville Area Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CUSHMAN EMT I (CHIEF)
(608) 935-5111
Entity
Organization
Contact information
Practice address
100 E FOUNTAIN ST, DODGEVILLE, WI 53533-1750
(608) 935-5111
(608) 935-9477
Mailing address
2715 W FRANK ST, EAU CLAIRE, WI 54703-2593
(715) 834-5870
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
60 01312
WI
146N00000X
Basic Emergency Medical Technician
60 01312
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41345200
—
WI
Enumeration date
05/30/2006
Last updated
01/03/2013
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