NPI 1053317859

Village of Allouez

Organisation Land Ambulance Green Bay, WI

Practice location

Address: 135 Dauphin St, Green Bay, WI 54301-2109
Phone: (920) 448-2806
Fax: (920) 448-2851
Mailing address: 1900 Libal St, Green Bay, WI 54301-2453

Authorised official

Name: Susan L Foxworthy
Title: Administrator
Phone: (920) 448-2800

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 6001005 (WI)

Other Ambulance providers in Wisconsin →

Registry record

NPI: 1053317859
Entity type: Organization
NPI issued: 27 Jun 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.