# DICKEYVILLE RESCUE SQUAD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144399577
- **Authorized official:** MR. DALLAS EDMUND DIETZEL LICENSED AEMT (PRESIDENT)
- **Authorized official phone:** (563) 580-0130

## Contact information

- **Practice address:** 300 SPLINTER AVE, DICKEYVILLE, WI 53808-6888
- **Practice address phone:** (608) 568-3095
- **Practice address fax:** (608) 568-3753
- **Mailing address:** 300 SPLINTER AVE, DICKEYVILLE, WI 53808-6888
- **Mailing address phone:** (608) 568-3095
- **Mailing address fax:** (608) 568-3753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/02/2021