Organization
PRENTICE VOLUNTEER FIRE DEPARTMENT AND AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE KAY ANDREAE (SECRETARY/TREASURER)
(715) 428-2124
Entity
Organization
Contact information
Practice address
605 SPRUCE ST, PRENTICE, WI 54556-1125
(715) 428-2124
(715) 428-2120
Mailing address
605 SPRUCE ST, PRENTICE, WI 54556-1125
(715) 428-2124
(715) 428-2120
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000379
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41334200
—
WI
01
—
P00206768
MEDICARE RAILROAD
WI
Enumeration date
08/01/2007
Last updated
02/06/2008
Update your record
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