Organization
TOWN OF IRON RIVER
Active
Other names
Town of Iron River Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY(MICKY) E. MULLOZZI R.E.M.T. (EMERGENCY MEDICAL TECHNITIAN-BILLIN)
(715) 372-8774
Entity
Organization
Contact information
Practice address
8285 US HIGHWAY 2, IRON RIVER, WI 54847-3436
(715) 372-8774
(715) 372-4394
Mailing address
8285 US HIGHWAY 2, P.O. BOX 53, IRON RIVER, WI 54847-3436
(715) 372-8774
(715) 372-4394
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000776
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41333000
—
WI
01
—
6000776
STATE LICENSE
WI
Enumeration date
01/10/2007
Last updated
07/01/2010
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