# BROOKS AMBULANCE INC

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

## Provider details

- **NPI number:** 1477537249
- **Authorized official:** MR. LEROY F BROOKS (OWNER)
- **Authorized official phone:** (920) 324-9132

## Contact information

- **Practice address:** 426 E MAIN ST, WAUPUN, WI 53963
- **Practice address phone:** (920) 324-9132
- **Practice address fax:** (920) 324-0968
- **Mailing address:** PO BOX 369, WAUPUN, WI 53963-0369
- **Mailing address phone:** (920) 324-9132
- **Mailing address fax:** (920) 324-0968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 601226 | WI | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 04/28/2011