Theresa Ambulance Service in Theresa - Land Transport
Theresa Ambulance Service - NPI 1104804657
Theresa Ambulance Service is a Land Transport in Theresa, Wisconsin. Theresa Ambulance Service practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Theresa Ambulance Service is 1104804657. The last update date is 2012-04-30.
Theresa Ambulance Service's current location address is Po Box 275, Theresa, Wisconsin. You can contact this provider via phone number 9204886301 and fax number 9204886301. The mailing address for Theresa Ambulance Service is Po Box 275, Theresa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theresa Ambulance Service |
|---|---|
| Address | Po Box 275, Theresa, Wisconsin |
| Phone Number | 9204886301 |
| Fax Number | 9204886301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATION |
|---|---|
| Authorized Official Name | Baerwald Lester Kevin |
| Credentials | EMT |
| Telephone Number | 9204886301 |
NPI Number Detail
| NPI Number | 1104804657 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2012-04-30 |
Provider Mailing Address Detail
| Address | Po Box 275 |
|---|---|
| City | Theresa |
| State | Wisconsin (WI) |
| Post Code | 530910275 |
| Phone Number | 9204886301 |
| Fax Number | 9204886301 |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 6000326 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41328600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theresa Ambulance Service by the Centers for Medicare & Medicaid Services?
The Theresa Ambulance Service has been assigned the NPI (National Provider Identifier) 1104804657. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Theresa Ambulance Service's facilities are situated?
The facilities of Theresa Ambulance Service are physically located at the following address: Po Box 275, Theresa, WI, 530910275.
What is the Theresa Ambulance Service's specialty and taxonomy code?
The Theresa Ambulance Service's specialty is Land Transport, and the corresponding taxonomy code is 3416L0300X.
On what date did Theresa Ambulance Service receive its 1104804657 assignment from the Centers for Medicare & Medicaid Services?
The Theresa Ambulance Service was assigned its 1104804657 on 2006-01-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Theresa Ambulance Service most recently updated or revised?
The details related to Theresa Ambulance Service, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-30.
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