Organization Name: | CHETEK AMBULANCE SERVICE |
NPI Number: | 1396955860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRIS CHESTER (AMBULANCE DIRECTOR) |
Mailing Address: | 1224 Railroad Ave Chetek |
State: | WI US |
Postal Code: | 547280047 |
Phone Number: | 7159244211 |
Fax Number: | 7159244695 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 6000571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |