# BLUE RIVER VOLUNTEER FIRE DEPARTMENT & RESCUE SQUAD

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

## Provider details

- **NPI number:** 1205827847
- **Authorized official:** MR. RICHARD WILLIAM LEE (SECRETARY/TREASURER)
- **Authorized official phone:** (608) 537-2925

## Contact information

- **Practice address:** 201 EXCHANGE ST, BLUE RIVER, WI 53518
- **Practice address phone:** (608) 537-2357
- **Practice address fax:** (608) 537-2357
- **Mailing address:** BOX 215, 201 EXCHANGE ST, BLUE RIVER, WI 53518
- **Mailing address phone:** (608) 537-2357
- **Mailing address fax:** (608) 537-2357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000362 | WI | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 06/22/2012
