Organization Name: | MERCER AREA AMBULANCE AND RESCUE INC |
NPI Number: | 1831143429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BILL GUST (PRESIDENT) |
Mailing Address: | 5267 N Vaughn St Mercer |
State: | WI US |
Postal Code: | 545479320 |
Phone Number: | 7154762056 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |