Provider Demographics
NPI:1710223904
Name:FLORENCE COUNTY RESCUE SQUAD
Entity Type:Organization
Organization Name:FLORENCE COUNTY RESCUE SQUAD
Other - Org Name:AURORA HOMESTEAD RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-369-9527
Mailing Address - Street 1:1070 COUNTY RD N
Mailing Address - Street 2:
Mailing Address - City:NIAGARA
Mailing Address - State:WI
Mailing Address - Zip Code:54151-9127
Mailing Address - Country:US
Mailing Address - Phone:715-589-2329
Mailing Address - Fax:
Practice Address - Street 1:1070 COUNTY RD N
Practice Address - Street 2:
Practice Address - City:NIAGARA
Practice Address - State:WI
Practice Address - Zip Code:54151-9127
Practice Address - Country:US
Practice Address - Phone:715-589-2329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60012193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport