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Kickapoo Valley Rescue Squad Inc

Kickapoo Valley Rescue Squad Inc is a health care provider in Viola, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 213 N Turner, Viola, WI 54664, US
Practice Location Phone608-627-1810
Practice Location Fax608-627-1815
Legal Business NameKICKAPOO VALLEY RESCUE SQUAD INC
NPI ?1508069923
Entity TypeOrganization
Enumeration Date ? Jun 6, 2007
Last Update Date ? Jun 30, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kickapoo Valley Rescue Squad Inc

SpecialtySpecializationLicenseLicense State
Ambulance 60-01171Wisconsin
AmbulanceLand Transport Wisconsin

legacy-id-icon Legacy Provider IDs of Kickapoo Valley Rescue Squad Inc

Provider IdIssuer StateIssuer TypeIssuer
41348900WisconsinMedicaid

official-icon Authorized Official of Kickapoo Valley Rescue Squad Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kickapoo Valley Rescue Squad Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sadie J Wallace
Authorized Official Title/PositionSECRETARY
Authorized Official Phone Number608-606-3932