Organization
HEALTH LINE RESOURCES
Active
Other names
Unity Area Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINETTE R ERICKSON EMT I (VICE PRESIDENT)
(715) 825-4444
Entity
Organization
Contact information
Practice address
133 EIDER ST, MILLTOWN, WI 54858
(715) 825-4444
(715) 825-4443
Mailing address
PO BOX 164, 133 EIDER ST, MILLTOWN, WI 54858
(715) 825-4444
(715) 825-4443
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
6001325
WI
3416L0300X
Land Ambulance
Primary
6001325
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2G305UN
BC/BS OF MN PROVIDER NUMB
MN
01
—
2G305UN
BC/BS OF WI PROVIDER NUMB
WI
05
—
41349000
—
WI
05
—
440268500
—
MN
Enumeration date
09/20/2005
Last updated
07/09/2008
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