Organization
MINERAL POINT RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL V. PROCHASKA (CHIEF)
(608) 341-8883
Entity
Organization
Contact information
Practice address
907 RIDGE ST, MINERAL POINT, WI 53565-1461
(608) 987-2752
(608) 987-1544
Mailing address
907 RIDGE STREET, PO BOX 245, MINERAL POINT, WI 53565-0245
(608) 987-2752
(608) 987-1544
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
6001292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41318200
—
WI
Enumeration date
07/20/2006
Last updated
08/22/2020
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