Organization
WEST GRANT RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN NIEHAUS EMT (TREASURER)
(608) 778-4718
Entity
Organization
Contact information
Practice address
136 MILL ST, BLOOMINGTON, WI 53804
(608) 994-2385
Mailing address
PO BOX 403, BLOOMINGTON, WI 53804-0403
(715) 834-5870
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41310200
—
WI
Enumeration date
05/30/2006
Last updated
10/15/2023
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