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NPI Code Detail

MEDICARE: MUNICIPAL AMBULANCE SERVICE

MEDICARE: MUNICIPAL AMBULANCE SERVICE
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
1000083677OTHERADVOCARE MCHMO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861446403
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNICIPAL AMBULANCE SERVICE
Provider Business Mailing Address
First Line : 216 SUNSET PL
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-1706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 216 SUNSET PL
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-1706
Country : US
Telephone Number : 715-743-3101
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KEN MARG
Credential :
Telephone Number : 715-743-3101
Provider Enumeration Date : 05/19/2006
Last Update Date : 01/15/2013

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Directions to “MUNICIPAL AMBULANCE SERVICE ” Practice Location

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