Organization
CITY OF BLOOMER
Active
Parent organization
CITY OF BLOOMER
Other names
Bloomer Community Ambulance Svc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF BLOOMER
Authorized official
VICI J MOBRAATEN (BILLING MANAGER)
(715) 838-8898
Entity
Organization
Contact information
Practice address
1200 15TH AVE, BLOOMER, WI 54724-1613
(715) 838-8898
(715) 838-8895
Mailing address
1200 15TH AVE, BLOOMER, WI 54724-1613
(715) 838-8898
(715) 838-8895
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41339300
—
WI
Enumeration date
10/17/2007
Last updated
06/11/2008
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