Organization
TOWN OF BOULDER JUNCTION
Active
Other names
Boulder Junction Volunteer Fire Dept
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WALLDEN (DIRECTOR)
(715) 385-2002
Entity
Organization
Contact information
Practice address
5386 PARK ST, BOULDER JUNCTION, WI 54512-9605
(715) 385-2002
Mailing address
PO BOX 395, BOULDER JUNCTION, WI 54512-0395
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006532
HEALTH ALLIANCE
—
01
—
1012338
PHYSICIAN'S PLUS
—
05
—
41335600
—
WI
01
—
WI0101
JOHN DEERE
—
Enumeration date
05/16/2006
Last updated
08/22/2020
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