Organization
HIGHLAND AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE H. MIZE (BILLING SECRETARY)
(608) 929-4629
Entity
Organization
Contact information
Practice address
709 DODGEVILLE ST, HIGHLAND, WI 53543-9293
(608) 929-4629
Mailing address
709 DODGEVILLE ST, HIGHLAND, WI 53543-9293
(608) 929-4629
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001069
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41316000
—
WI
Enumeration date
10/01/2005
Last updated
08/22/2020
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