| NPI | 1699853788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST EUGENE SUPPLE Ambulance Director 715-667-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: WI 6000352) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |