Organization
CITY OF RIPON
Active
Other names
Ripon Guardian Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL MATUSZESKI (EMS CHIEF)
(920) 748-4904
Entity
Organization
Contact information
Practice address
100 JACKSON ST, RIPON, WI 54971-1312
(920) 748-4926
(920) 748-6983
Mailing address
100 JACKSON ST, RIPON, WI 54971-1312
(920) 748-4926
(920) 748-6983
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
6001189
WI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41306700
—
WI
Enumeration date
05/24/2005
Last updated
01/03/2022
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