Organization · Type 2 NPI
Theresa Ambulance Service
Land Ambulance · Theresa, WI
NPI number
1104804657
Active
Practice location
302 Depot Road
Theresa, WI 53091
Fax (920) 488-6301
Mailing address
PO Box 275
Theresa, WI 53091-0275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 6000326 (WI) |
Land Ambulance: Definition to come...
About NPI 1104804657
Theresa Ambulance Service's National Provider Identifier is 1104804657, issued on Jan 5, 2006. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Theresa, WI. The record was last updated on Apr 30, 2012.