institution
Village Of Clear Lake
Land Ambulance in Clear Lake, Wisconsin
NPI 1528011657

Village Of Clear Lake is a Land Ambulance based in Clear Lake, WI and is specialized in Land Transport. Village Of Clear Lake practices in Clear Lake, WI. The NPI Number for Village Of Clear Lake is 1528011657 and holds a License No. (Wisconsin).

The current practice location address for Village Of Clear Lake is 457 3Rd Ave, Clear Lake, WI and can be reached out via phone at 715-263-2804.

Location: 457 3Rd Ave, Clear Lake, WI, 54005-0215
institution
Provider Profile Details
NPI Number
1528011657
Provider Name
Village Of Clear Lake
Credential
Provider Entity Type
Organization
Address
457 3Rd Ave, Clear Lake, WI, 54005-0215
Phone Number
715-263-2804
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41328500 01 WI HIRSP
8182723 01 MEDICA
41328500 05 WI
institution
Provider Business Practice Location Address Details
Address
457 3Rd Ave
City
State
Zip
54005-8905
Phone Number
715-263-2804
Fax Number
person
Provider Business Mailing Address Details
Address
457 3Rd Ave
City
State
Zip
54005-8905
Phone Number
715-263-2804
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
()
Definition
Definition to come...
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