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TOWN OF CLOVER NPI 1225041940


NPI Information

NPI: 1225041940
Provider Name: TOWN OF CLOVER

Doing Business As: SOUTH SHORE AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
86980 LAKE AVENUE
HERBSTER, WI
ZIP 54844
Phone: (715) 774-3781
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TOWN OF CLOVER is a land transport ambulance in Herbster, WI. TOWN OF CLOVER NPI is 1225041940. The provider is registered as an organization entity type.
The provider Is Doing Business As South Shore Ambulance.

The provider's business location address is:

86980 LAKE AVENUE
HERBSTER, WI
ZIP 54844
Phone: (715) 774-3781

The provider's authorized official is Judy Rosenwinkel .
The authorized official title is Town Chairman and has the following contact phone number (715) 774-3780.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 1/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000081449MEDICARE ID-TYPE UNSPECIFIEDWISCONSINPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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