Provider Demographics
NPI:1386972487
Name:NECEDAH FIRE AND RESCUE INC.
Entity type:Organization
Organization Name:NECEDAH FIRE AND RESCUE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:RATTUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-565-2412
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:NECEDAH
Mailing Address - State:WI
Mailing Address - Zip Code:54646-0009
Mailing Address - Country:US
Mailing Address - Phone:608-565-2412
Mailing Address - Fax:
Practice Address - Street 1:101 CENTER STREET
Practice Address - Street 2:
Practice Address - City:NECEDAH
Practice Address - State:WI
Practice Address - Zip Code:54646
Practice Address - Country:US
Practice Address - Phone:608-565-2412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport