Organization
MEDA-CARE AMBULANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE S LARSEN (OWNER PRESIDENT)
(414) 327-2880
Entity
Organization
Contact information
Practice address
2515 W VLIET ST, MILWAUKEE, WI 53205-1835
(414) 342-1148
(414) 342-0888
Mailing address
4935 W FOREST HOME AVE, MILWAUKEE, WI 53219-4722
(414) 327-2880
(414) 327-1049
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000115
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41319600
—
WI
Enumeration date
12/23/2005
Last updated
08/22/2020
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