MEDICARE: CITY OF ASHLAND

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
1	3416L0300X	Land Ambulance	6000349	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590011198	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942207402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ASHLAND

Provider Business Mailing Address
First Line	:	300 STUNTZ AVE
Second Line	:
City	:	ASHLAND
State	:	WI
Zip	:	54806-1952
Country	:	US
Telephone Number	:	715-682-7052
Fax Number	:	715-682-7903

Provider Business Practice Location Address
First Line	:	300 STUNTZ AVE
Second Line	:
City	:	ASHLAND
State	:	WI
Zip	:	54806-1952
Country	:	US
Telephone Number	:	715-682-7052
Fax Number	:	715-682-7903

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. WAYNE CHENIER
Credential	:
Telephone Number	:	715-682-7052

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/03/2010

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Directions to “CITY OF ASHLAND ” Practice Location

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