Organization
BLOOMING GROVE, BURKE, MAPLE BLUFF EMS AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ENGLEHART (CHIEF/DIRECTOR)
(608) 244-3390
Entity
Organization
Contact information
Practice address
18 OXFORD PL, MADISON, WI 53704-5955
(608) 244-3390
Mailing address
18 OXFORD PL, MADISON, WI 53704-5955
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012155
PHYSICIAN'S PLUS
—
01
—
41308700
WI CHRONIC DISEASE PROG
WI
05
—
41308700
—
WI
01
—
VNDR 531534
DEANCARE MAHMO
—
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/17/2006
Last updated
08/22/2020
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