Provider Demographics
NPI:1104831981
Name:TOWN OF BARNES
Entity Type:Organization
Organization Name:TOWN OF BARNES
Other - Org Name:BARNES AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:AMBULANCE DIRECTOR AND FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-795-2113
Mailing Address - Street 1:3360 COUNTY HWY N
Mailing Address - Street 2:
Mailing Address - City:BARNES
Mailing Address - State:WI
Mailing Address - Zip Code:54873-6106
Mailing Address - Country:US
Mailing Address - Phone:715-795-2248
Mailing Address - Fax:
Practice Address - Street 1:3360 COUNTY HWY N
Practice Address - Street 2:
Practice Address - City:BARNES
Practice Address - State:WI
Practice Address - Zip Code:54873-6106
Practice Address - Country:US
Practice Address - Phone:715-795-2248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41326900Medicaid
WI=========017OtherBCBS
WI590000142Medicare PIN
WI000083251Medicare PIN