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NPI 1487742359

NPI 1487742359 : NEW RICHMOND AREA AMBULANCE AND RESCUE SERVICE ASSOCIATION : NEW RICHMOND, WI

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General NPI Number Information
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    NPI Number           |    1487742359
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW RICHMOND AREA AMBULANCE AND RESCUE SERVICE ASSOCIATION 
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Dates
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    Enumeration Date     |    10/10/2006
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    344 S ARCH AVE 
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    City                 |    NEW RICHMOND
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    State                |    WI
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    Zip                  |    54017-1819
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    Country              |    US
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    Telephone            |    715-246-7700
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    Fax                  |    715-246-6955
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Provider Business Mailing Address
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    Address Line         |    344 S ARCH AVE 
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    City                 |    NEW RICHMOND
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    State                |    WI
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    Zip                  |    54017-1819
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    Country              |    US
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    Telephone            |    715-715-2466
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    Fax                  |    336-510-5894
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     MATTHEW C MELBY 
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    Credential           |    EMTP
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    Telephone            |    715-246-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    6000131
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    License Number State |    WI
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