| Organization Name: | LAKE MILLS AMBULANCE SERVICE |
| NPI Number: | 1598768012 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CANDACE KAY HANNA (TREASURER) |
| Mailing Address: | 105 S 1st Ave W Lake Mills |
| State: | IA US |
| Postal Code: | 504501510 |
| Phone Number: | 6415925772 |
| Fax Number: | 6415924300 |
| NPI Enumeration Date: | 05/30/2005 |
| NPI Last Update Date: | 12/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2950400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |