OrganizationActive
Great Divide Ambulance Service
NPI 1689787715 · Land Ambulance · Cable, WI
Provider details
- NPI number
- 1689787715
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Roy Bloom, Service Director(715) 798-3094
Specialties & taxonomies
Transportation Services
- Ambulance341600000X
Transportation Services
Practice location
43555 US Highway 63
Cable, WI 54821-2000
Phone: (715) 798-3094
Fax: (715) 798-4442
Approximate (ZIP-level) locationGet directions
Mailing address
43555 US Highway 63
Cable, WI 54821-2000
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.