Provider Demographics
NPI:1457304826
Name:MUNICIPAL AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:MUNICIPAL AMBULANCE SERVICE INC.
Other - Org Name:AMERY AREA EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-268-8698
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0457
Mailing Address - Country:US
Mailing Address - Phone:800-244-2345
Mailing Address - Fax:800-329-5274
Practice Address - Street 1:150 SNOW ST
Practice Address - Street 2:
Practice Address - City:AMERY
Practice Address - State:WI
Practice Address - Zip Code:54001-1407
Practice Address - Country:US
Practice Address - Phone:715-268-8698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
41331600OtherGROUP HEALTH
MN165380OtherUCARE MN
WI41331600Medicaid
WI41331600OtherHIRSP
7022809OtherPREFERRED ONE
WI0101OtherJOHN DEERE
MN403067200Medicaid
WIP00118780OtherRAILROAD MEDICARE
000082129OtherADVOCARE MCHMO
8195031OtherMEDICA
41331600OtherGROUP HEALTH
8195031OtherMEDICA
=========019OtherBCBS