# BELMONT FIRE PROTECTION DISTRICT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Belmont Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831265644
- **Authorized official:** ROBERTA J BUSS (BILLING CLERK)
- **Authorized official phone:** (608) 762-5495

## Contact information

- **Practice address:** 103 MARKET ST., BELMONT, WI 53510-0052
- **Practice address phone:** (608) 762-5495
- **Practice address fax:** (608) 762-5533
- **Mailing address:** PO BOX 52, BELMONT, WI 53510-0052
- **Mailing address phone:** (608) 762-5495
- **Mailing address fax:** (608) 762-5533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | 60-00400 | WI | Yes |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 02/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41331700 | — | WI |