City of Bloomer

NPI #1912196700 in Bloomer, Wisconsin

Provider Information

NPI Number: 1912196700
Entity Type: Organization
Organization Name: City of Bloomer
Subpart: Yes (part of a larger organization)
Parent Organization: CITY OF BLOOMER
Primary Specialty: Ambulance
Enumeration Date: Oct 17, 2007
Last Updated: Jun 11, 2008

Practice Location

Address: 1200 15TH AVE
City: Bloomer
State: Wisconsin
ZIP Code: 54724-1613
Phone: (715) 838-8898

Authorized Official

Name: VICI J MOBRAATEN
Title: BILLING MANAGER
Phone: (715) 838-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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