Healthcare Provider Details

I. General information

NPI: 1568528941
Provider Name (Legal Business Name): FLORENCE COUNTY RESCUE SQUAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1346 COUNTY RD N
NIAGARA WI
54151-9152
US

IV. Provider business mailing address

1346 COUNTY RD N
NIAGARA WI
54151-9152
US

V. Phone/Fax

Practice location:
  • Phone: 715-589-2329
  • Fax:
Mailing address:
  • Phone: 715-589-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: KEN VANABEL
Title or Position: PRESIDENT
Credential:
Phone: 715-589-2329