Provider Demographics
NPI:1417492711
Name:RIVERSIDE FIRE DISTRICT
Entity Type:Organization
Organization Name:RIVERSIDE FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-359-3500
Mailing Address - Street 1:211 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ROTHSCHILD
Mailing Address - State:WI
Mailing Address - Zip Code:54474-1173
Mailing Address - Country:US
Mailing Address - Phone:715-359-3500
Mailing Address - Fax:715-359-7268
Practice Address - Street 1:20 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:ROTHSCHILD
Practice Address - State:WI
Practice Address - Zip Code:54474-1739
Practice Address - Country:US
Practice Address - Phone:715-359-3500
Practice Address - Fax:715-359-7268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-23
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport