Provider Demographics
NPI:1568465490
Name:COUNTY OF RICHLAND
Entity Type:Organization
Organization Name:COUNTY OF RICHLAND
Other - Org Name:RICHLAND COUNTY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-647-6474
Mailing Address - Street 1:181 W SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-2368
Mailing Address - Country:US
Mailing Address - Phone:608-647-6474
Mailing Address - Fax:608-647-7151
Practice Address - Street 1:181 W SEMINARY ST
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-2368
Practice Address - Country:US
Practice Address - Phone:608-647-6474
Practice Address - Fax:608-647-7151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF RICHLAND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-24
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI00724341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41342400Medicaid
WI000088660Medicare ID - Type Unspecified