# LJH AMBULANCE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154471332
- **Authorized official:** NORMAN ROSENBERG (CFO)
- **Authorized official phone:** (201) 240-0171

## Contact information

- **Practice address:** 6329 28TH AVE, KENOSHA, WI 53143
- **Practice address phone:** (262) 658-4422
- **Practice address fax:** (262) 658-2774
- **Mailing address:** PO BOX 1227, KENOSHA, WI 53141-1227
- **Mailing address phone:** (262) 658-4422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 60-01334 | WI | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/18/2026