# CAZENOVIA FD RESCUE SQUAD

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

## Provider details

- **NPI number:** 1538299375
- **Authorized official:** MRS. BONNIE L MARSHALL (SECRETARY-BOOKKEEPER)
- **Authorized official phone:** (608) 983-2840

## Contact information

- **Practice address:** 401 STATE HWY 58 NORTH, CAZENOVIA, WI 53924-0183
- **Practice address phone:** (608) 983-2840
- **Mailing address:** PO BOX 183, 401 STATE HWY 58 NORTH, CAZENOVIA, WI 53924-0183
- **Mailing address phone:** (608) 983-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 6000515 | WI | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41341700 | — | WI |