Organization
OCONTO FALLS AREA JOINT AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK W AHLGRIM RN, CCT-P (SERVICE DIRECTOR)
(920) 846-2662
Entity
Organization
Contact information
Practice address
831 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-2662
(920) 846-2676
Mailing address
831 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-2662
(920) 846-2676
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000085332
ADVOCARE MCHMO
—
01
—
0157163-00
MEDICAL ASSOCIATES HMO
IA
05
—
0157163-00
—
MN
01
—
1012283
PHYSICIAN'S PLUS
—
01
—
2494
NETWORK HEALTH PLAN
—
01
—
396005559010
VALLEY HEALTH PLAN
—
01
—
41336300
HIRSP
WI
05
—
41336300
—
WI
05
—
4631821
—
MI
01
—
BCBS
396005559010
—
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/12/2006
Last updated
06/16/2020
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