Organization
VILLAGE OF COLFAX
Active
Other names
COLFAX RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRYSTAL LYNN SMITH EMT-P (DIRECTOR)
(715) 303-3049
Entity
Organization
Contact information
Practice address
614C RAILROAD AVE, COLFAX, WI 54730-9148
(715) 962-3049
(715) 962-2032
Mailing address
PO BOX 417, 614C RAILROAD AVE, COLFAX, WI 54730-9148
(715) 303-3049
(715) 303-3049
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6000760
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084671
MEDICARE PTAN
WI
05
—
396006469
—
WI
01
—
590656458
RR MEDICARE PTAN
WI
Enumeration date
01/10/2006
Last updated
06/26/2025
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