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NPI Code Detail

MEDICARE: SPRING VALLEY AREA AMBULANCE SERVICE INC

MEDICARE: SPRING VALLEY AREA AMBULANCE SERVICE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
141317000OTHERWIHIRSP
2WI0101OTHERJOHN DEERE
3000081802OTHERADVOCARE MCHMO
47040952OTHERPREFERRED ONE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
68181704OTHERMEDICA

General Provider Information

NPI Number : 1417909193
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING VALLEY AREA AMBULANCE SERVICE INC
Provider Business Mailing Address
First Line : PO BOX 387
Second Line :
City : SPRING VALLEY
State : WI
Zip : 54767-0387
Country : US
Telephone Number : 715-778-4452
Fax Number :
Provider Business Practice Location Address
First Line : S 407 NEWMAN AVE
Second Line :
City : SPRING VALLEY
State : WI
Zip : 54767
Country : US
Telephone Number : 715-778-4452
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : TOD JORGENSON
Credential :
Telephone Number : 715-778-4452
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/19/2013

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Directions to “SPRING VALLEY AREA AMBULANCE SERVICE INC ” Practice Location

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