Organization
BLUE RIVER VOLUNTEER FIRE DEPARTMENT & RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WILLIAM LEE (SECRETARY/TREASURER)
(608) 537-2925
Entity
Organization
Contact information
Practice address
201 EXCHANGE ST, BLUE RIVER, WI 53518
(608) 537-2357
(608) 537-2357
Mailing address
BOX 215, 201 EXCHANGE ST, BLUE RIVER, WI 53518
(608) 537-2357
(608) 537-2357
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000362
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41358700
—
WI
01
—
562830
DEAN HEALTH PLAN, INC.
WI
Enumeration date
11/02/2005
Last updated
06/22/2012
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