| Organization Name: | OLIVIA AMBULANCE SERVICE, INC. |
| NPI Number: | 1669488466 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE WERTISH (SECRETARY/TREASURER) |
| Mailing Address: | 1005 W Lincoln Ave Olivia |
| State: | MN US |
| Postal Code: | 56277 |
| Phone Number: | 3205235565 |
| Fax Number: | 3205231232 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0183 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |