Provider Demographics
NPI:1457304586
Name:MAUSTON AREA AMBULANCE ASSOCIATION INC
Entity Type:Organization
Organization Name:MAUSTON AREA AMBULANCE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-547-4792
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-0052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:302 S UNION ST
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-1755
Practice Address - Country:US
Practice Address - Phone:608-853-0988
Practice Address - Fax:608-350-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41335900Medicaid
000085266OtherADVOCARE MCHMO
WI41335900OtherHIRSP
IA0595439Medicaid
1012213OtherPHYSICIAN'S PLUS
MN971482100Medicaid
WI0101OtherJOHN DEERE
8180065OtherMEDICA
IA0595439Medicaid
000085266OtherADVOCARE MCHMO
1012213OtherPHYSICIAN'S PLUS
WI41335900Medicaid
WI41335900Medicaid
IA0595439Medicaid