Superior Air-Ground Ambulance Services of Wisconsin, INC

NPI #1588141345 in Walworth, Wisconsin

Provider Information

NPI Number
1588141345
Entity Type
Organization
Organization Name
Superior Air-Ground Ambulance Services of Wisconsin, INC
Primary Specialty
Ambulance
Enumeration Date
Jul 25, 2018
Last Updated
Jul 25, 2018

Practice Location

Address
211 MADISON ST
ZIP Code
53184-9680
Phone
(630) 234-0170

Authorized Official

Name
KIMBERLY PATE GODDEN
Title
VICE PRESIDENT
Phone
(630) 903-2401

Specialties & Taxonomy Codes

Specialty
Ambulance

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Provider Name
County of Richland

Part of County of Richland

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