# KICKAPOO VALLEY RESCUE SQUAD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1508069923
- **Authorized official:** SADIE J WALLACE (SECRETARY)
- **Authorized official phone:** (608) 606-3932

## Contact information

- **Practice address:** 213 N TURNER, VIOLA, WI 54664
- **Practice address phone:** (608) 627-1810
- **Practice address fax:** (608) 627-1815
- **Mailing address:** PO BOX 95, VIOLA, WI 54664-0095
- **Mailing address phone:** (608) 627-1810
- **Mailing address fax:** (608) 627-1815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 60-01171 | WI | — |
| 3416L0300X | Land Ambulance | — | WI | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 06/30/2015