Provider Demographics
NPI:1780631697
Name:OSCEOLA AREA AMBULANCE
Entity Type:Organization
Organization Name:OSCEOLA AREA AMBULANCE
Other - Org Name:OSCEOLA AREA AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-210-5594
Mailing Address - Street 1:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:WI
Mailing Address - Zip Code:54020-0411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:403 3RD AVE E
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:WI
Practice Address - Zip Code:54020-8170
Practice Address - Country:US
Practice Address - Phone:715-294-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
000085374OtherADVOCARE MCHMO
WI41337200Medicaid
000085374OtherADVOCARE MCHMO
=========OtherWPS
=========014OtherVALLEY HEALTH PLAN
=========014OtherBCBS