We present finite-range embeddings (FiRE), a novel wave function ansatz for accurate large-scale ab-initio electronic structure calculations. Compared to contemporary neural-network wave functions, FiRE reduces the asymptotic complexity of neural-network variational Monte Carlo (NN-VMC) by $\sim n_\text{el}$, the number of electrons. By restricting electron-electron interactions within the neural network, FiRE accelerates all key operations -- sampling, pseudopotentials, and Laplacian computations -- resulting in a real-world $10\times$ acceleration in now-feasible 180-electron calculations. We validate our method's accuracy on various challenging systems, including biochemical compounds, conjugated hydrocarbons, and organometallic compounds. On these systems, FiRE's energies are consistently within chemical accuracy of the most reliable data, including experiments, even in cases where high-accuracy methods such as CCSD(T), AFQMC, or contemporary NN-VMC fall short. With these improvements in both runtime and accuracy, FiRE represents a new `gold-standard' method for fast and accurate large-scale ab-initio calculations, potentially enabling new computational studies in fields like quantum chemistry, solid-state physics, and material design.