Provider Demographics
NPI:1508024340
Name:BIRCHWOOD FOUR CORNERS EMERGENCY SERVICES DISTRICT
Entity Type:Organization
Organization Name:BIRCHWOOD FOUR CORNERS EMERGENCY SERVICES DISTRICT
Other - Org Name:BIRCHWOOD AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-354-3003
Mailing Address - Street 1:3920 13TH AVE E
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-3675
Mailing Address - Country:US
Mailing Address - Phone:218-263-7540
Mailing Address - Fax:866-732-0699
Practice Address - Street 1:119 W PARK AVE
Practice Address - Street 2:
Practice Address - City:BIRCHWOOD
Practice Address - State:WI
Practice Address - Zip Code:54817-8601
Practice Address - Country:US
Practice Address - Phone:715-354-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance