# LAKEVIEW CRITICAL CARE EMS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215274931
- **Authorized official:** ANDY ALEXANDER OLIVARES (COO)
- **Authorized official phone:** (262) 534-7297

## Contact information

- **Practice address:** 1701 SHARP RD, WATERFORD, WI 53185-5214
- **Practice address phone:** (262) 534-7297
- **Practice address fax:** (262) 534-7257
- **Mailing address:** 1701 SHARP ROAD, WATERFORD, WI 53185
- **Mailing address phone:** (262) 221-4228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6604929 | WI | Yes |

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 03/29/2024