Organization
CITY OF KENOSHA
Active
Parent organization
CITY OF KENOSHA
Other names
City of Kenosha Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF KENOSHA
Authorized official
MR. JAMES POLTROCK (DIVISION CHIEF OF EMS)
(262) 653-4097
Entity
Organization
Contact information
Practice address
4810 60TH ST, KENOSHA, WI 53144-2451
(262) 653-4097
(262) 653-4107
Mailing address
4810 60TH ST, KENOSHA, WI 53144-2451
(262) 653-4097
(262) 653-4107
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000422
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590005740
MEDICARE RAILROAD
WI
Enumeration date
01/06/2007
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us