Organization
CITY OF MONONA
Active
Other names
City of Monona Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MCMULLEN NRP (FIRE AND EMS CHIEF)
(608) 216-7442
Entity
Organization
Contact information
Practice address
5211 SCHLUTER RD, MONONA, WI 53716-2533
(608) 222-2525
(608) 222-9225
Mailing address
5211 SCHLUTER RD, MONONA, WI 53716-2533
(608) 222-2525
(608) 222-9225
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
6001194
WI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247688
BLUE CROSS BLUE SHIELD
WI
05
—
41313800
—
WI
01
—
590002965
RAILROAD MEDICARE
WI
Enumeration date
09/27/2005
Last updated
12/14/2020
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