# OCOOCH MOUNTAIN RESCUE INC.

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

## Provider details

- **NPI number:** 1548217912
- **Authorized official:** TRESA MCCARN EMT B (TREASURER)
- **Authorized official phone:** (608) 735-4698

## Contact information

- **Practice address:** 111 ROYAL AVE., GAYS MILLS, WI 54631-0000
- **Practice address phone:** (608) 735-4698
- **Practice address fax:** (608) 735-4040
- **Mailing address:** PO BOX 204, GAYS MILLS, WI 54631-0204
- **Mailing address phone:** (608) 735-4698
- **Mailing address fax:** (608) 735-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 6600149 | WI | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 11/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41360500 | — | WI |