Organization
MERCY ONE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNSON SERIEUX MUKIZA (OWNER)
(319) 383-9411
Entity
Organization
Contact information
Practice address
1800 S MADISON ST, APPLETON, WI 54915-1839
(319) 383-9411
Mailing address
1800 S MADISON ST, APPLETON, WI 54915-1839
(319) 383-9411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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