Provider Demographics
NPI:1023424173
Name:BOSCOBEL RESCUE SQUAD INC
Entity type:Organization
Organization Name:BOSCOBEL RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-485-0263
Mailing Address - Street 1:PO BOX 12
Mailing Address - Street 2:
Mailing Address - City:BOSCOBEL
Mailing Address - State:WI
Mailing Address - Zip Code:53805-0012
Mailing Address - Country:US
Mailing Address - Phone:608-485-0263
Mailing Address - Fax:608-375-2662
Practice Address - Street 1:510 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BOSCOBEL
Practice Address - State:WI
Practice Address - Zip Code:53805-1248
Practice Address - Country:US
Practice Address - Phone:608-375-2662
Practice Address - Fax:608-375-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60001363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport