NPI 1962422303 · live from the CMS NPI Registry
Clintonville Area Ambulance Service
Ambulance, Land Transport in Clintonville, WI. National Provider Identifier 1962422303, active.
NPI record
| NPI | 1962422303 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 16 N. Main, Clintonville, WI 54929 |
| Practice phone | 715-823-5967 |
| Mailing address | Po Box 98, Clintonville, WI 54929 |
| Enumerated | July 20, 2006 |
| Last updated | January 16, 2023 |
| Authorized official | Sheryl Wendorf, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | 6001047 (WI) |
| Ambulance, Land Transport primary | 3416L0300X | 6001047 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.