Organization Name: | LAKE MILLS EMERGENCY MEDICAL SERVICES INC. |
NPI Number: | 1538293949 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALLY A KRESSIN (PRESIDENT) |
Mailing Address: | 603 E Lake St Lake Mills |
State: | WI US |
Postal Code: | 535511738 |
Phone Number: | 9206485888 |
Fax Number: | 9206488627 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 02/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 60-1031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |