Ellsworth Area Ambulance Service Inc

LBN: Ellsworth Area Ambulance Service Inc
Ellsworth Area Ambulance Service Inc is an health care organization with primary practice located at 151 S Plum St , Ellsworth WI 54011-4137. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Ellsworth Area Ambulance Service Inc can be contacted via phone (715) 273-4879, or through Morth, Dan via phone (715) 273-4879.

Contact Information

Primary practice address
151 S Plum St Ellsworth WI 54011-4137
Phone: (715) 273-4879
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morth, Dan
Phone: (715) 273-4879

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1609827997
LBN Legal business name Ellsworth Area Ambulance Service Inc
DBA Doing business as
Authorized official Morth, Dan
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Nov 5th, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609827997 NPPES
Other 396005590 TRICARE
Other 000082275 TRICARE
Other 8182337 TRICARE
MEDICAID 41307200 TRICARE
Other 41307200 TRICARE
Other 7002089 TRICARE
MEDICAID 2525186-00 TRICARE

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