Organization
MONDOVI AREA AMBULANCE COMMISSION
Active
Other names
Mondovi Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH C ISAACSON (SERVICE DIRECTOR)
(715) 577-2320
Entity
Organization
Contact information
Practice address
156 S FRANKLIN ST, MONDOVI, WI 54755-1514
(715) 926-3772
Mailing address
156 S FRANKLIN ST, MONDOVI, WI 54755-1514
(715) 926-3772
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001087
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41323100
—
WI
Enumeration date
10/14/2007
Last updated
10/14/2007
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