| NPI | 1215957824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL V. PROCHASKA Chief 608-341-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: WI 6001292) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |