Provider Demographics
NPI:1942948211
Name:CITY OF RICE LAKE
Entity type:Organization
Organization Name:CITY OF RICE LAKE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-234-2119
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0547
Mailing Address - Country:US
Mailing Address - Phone:847-305-5236
Mailing Address - Fax:
Practice Address - Street 1:34 S WILSON AVE
Practice Address - Street 2:
Practice Address - City:RICE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54868-2248
Practice Address - Country:US
Practice Address - Phone:715-234-2119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport