| Organization Name: | WAUNAKEE AREA EMERGENCY MEDICAL SERVICE |
| NPI Number: | 1881701258 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY M GAWLIKOSKI (SERVICE ADMINISTRATOR) |
| Mailing Address: | 201 N Klein Dr Waunakee |
| State: | WI US |
| Postal Code: | 535971145 |
| Phone Number: | 6088497522 |
| Fax Number: | 6088497583 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 6001221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |