# MEDA-CARE AMBULANCE CORP

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

## Provider details

- **NPI number:** 1326025065
- **Authorized official:** YVONNE S LARSEN (OWNER PRESIDENT)
- **Authorized official phone:** (414) 327-2880

## Contact information

- **Practice address:** 2515 W VLIET ST, MILWAUKEE, WI 53205-1835
- **Practice address phone:** (414) 342-1148
- **Practice address fax:** (414) 342-0888
- **Mailing address:** 4935 W FOREST HOME AVE, MILWAUKEE, WI 53219-4722
- **Mailing address phone:** (414) 327-2880
- **Mailing address fax:** (414) 327-1049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 6000115 | WI | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 08/22/2020