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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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