Organization
CLINTONVILLE AREA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYL LYNN WENDORF (DIRECTOR)
(715) 823-5967
Entity
Organization
Contact information
Practice address
16 N. MAIN, CLINTONVILLE, WI 54929
(715) 823-5967
(715) 823-1379
Mailing address
PO BOX 98, CLINTONVILLE, WI 54929-0098
(715) 823-5967
(715) 823-1379
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
6001047
WI
3416L0300X
Land Ambulance
Primary
6001047
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41336000
—
WI
Enumeration date
07/20/2006
Last updated
01/16/2023
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