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Organization

TWIN BRIDGE RESCUE SQUAD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELAINE OLSON (PRESIDENT)
(715) 854-2942
Entity
Organization

Contact information

Practice address
W11280 COUNTY ROAD X, CRIVITZ, WI 54114-8004
(715) 854-2942
Mailing address
PO BOX 745, CRIVITZ, WI 54114-0745

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080023
ADVOCARE MCHMO
05
41360000
WI
01
WI0101
JOHN DEERE
Enumeration date
05/19/2006
Last updated
08/18/2011
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