| Organization Name: | WAUSAUKEE RESCUE SQUAD, INC. |
| NPI Number: | 1235307612 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER LYNN MADDEN (ADMINISTRATOR) |
| Mailing Address: | 429 Harrison Ave. Wausaukee |
| State: | WI US |
| Postal Code: | 54177 |
| Phone Number: | 7158565035 |
| Fax Number: | 7158565010 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 60-00091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |