Organization
MEDIX AMBULANCE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS W. DENKO EMT-P (PRESIDENT/CEO)
(262) 763-8439
Entity
Organization
Contact information
Practice address
147 INDUSTRIAL DR, BURLINGTON, WI 53105-2318
(262) 763-8439
Mailing address
PO BOX 652, 147 INDUSTRIAL DR, BURLINGTON, WI 53105-0652
(262) 763-8439
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6041320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41346000
—
WI
Enumeration date
07/15/2005
Last updated
08/22/2020
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