Organization Name: | WINNESHIEK MEDICAL CENTER-AMBULANCE |
NPI Number: | 1184816126 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN M. LULOFF (CFO) |
Mailing Address: | 901 Montgomery St Decorah |
State: | IA US |
Postal Code: | 521012325 |
Phone Number: | 5633822911 |
Fax Number: | 5633873102 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 960127H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |