Clintonville Area Ambulance Service
LBN: Clintonville Area Ambulance Service
Clintonville Area Ambulance Service is an health care organization with primary practice located at 16 N. Main , Clintonville WI 54929. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty.
Clintonville Area Ambulance Service can be contacted via phone (715) 823-5967, or through Wendorf, Sheryl Lynn via phone (715) 823-5967.
Contact Information
Primary practice address
16 N. Main
Clintonville WI 54929
Phone: (715) 823-5967
Fax: (715) 823-1379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Ambulance | 341600000X | 6001047 | Wisconsin |
| Transportation Services / Land Transport | 3416L0300X | 6001047 | Wisconsin |
Profile Details
| NPI number | 1962422303 |
|---|---|
| LBN Legal business name | Clintonville Area Ambulance Service |
| DBA Doing business as | |
| Authorized official | Wendorf, Sheryl Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 16th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962422303 | NPPES |
| Wisconsin | MEDICAID | 41336000 |
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