Healthcare Provider Details

I. General information

NPI: 1609609155
Provider Name (Legal Business Name): NORTHWOODS EMERGENCY MEDICAL SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7228 COUNTY RD W
WINCHESTER WI
54557-9003
US

IV. Provider business mailing address

PO BOX 215
MANITOWISH WATERS WI
54545-0215
US

V. Phone/Fax

Practice location:
  • Phone: 715-213-2592
  • Fax:
Mailing address:
  • Phone: 715-213-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON JOLING
Title or Position: DIRECTOR
Credential:
Phone: 715-213-2592