Clear Lake Area Ambulance Service

LBN: Village Of Clear Lake
Clear Lake Area Ambulance Service is an health care organization with primary practice located at 457 3Rd Ave , Clear Lake WI 54005-8905. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Village Of Clear Lake can be contacted via phone (715) 263-2804, or through Jackson, Joy via phone (715) 263-2804.

Contact Information

Primary practice address
457 3Rd Ave Clear Lake WI 54005-8905
Phone: (715) 263-2804
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Joy
Phone: (715) 263-2804

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1528011657
LBN Legal business name Village Of Clear Lake
DBA Doing business as Clear Lake Area Ambulance Service
Authorized official Jackson, Joy
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528011657 NPPES
Wisconsin Other 41328500 HIRSP
Wisconsin Other 8182723 HIRSP
Wisconsin MEDICAID 41328500 HIRSP

Popular Providers