# EDGE MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDGE MEDICAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609614544
- **Legal business name:** EDGE MEDICAL SERVICES
- **Authorized official:** NORA HERNANDEZ (OFFICE STAFF)
- **Authorized official phone:** (800) 348-4623

## Contact information

- **Practice address:** 1623 N 49TH ST, MILWAUKEE, WI 53208-2254
- **Practice address phone:** (800) 348-4623
- **Practice address fax:** (888) 329-2091
- **Mailing address:** 1141 N LOOP 1604 E \# 105187, SAN ANTONIO, TX 78232-1339
- **Mailing address phone:** (800) 348-4623
- **Mailing address fax:** (866) 399-0991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 09/10/2025