Brooks Ambulance Inc

LBN: Brooks Ambulance Inc
Brooks Ambulance Inc is an health care organization with primary practice located at 426 E Main St , Waupun WI 53963. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Brooks Ambulance Inc can be contacted via phone (920) 324-9132, or through Brooks, Leroy F via phone (920) 324-9132.

Contact Information

Primary practice address
426 E Main St Waupun WI 53963
Phone: (920) 324-9132
Fax: (920) 324-0968
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Leroy F
Phone: (920) 324-9132

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 601226 Wisconsin

Profile Details

NPI number 1477537249
LBN Legal business name Brooks Ambulance Inc
DBA Doing business as
Authorized official Brooks, Leroy F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Apr 28th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477537249 NPPES
Wisconsin MEDICAID 41308400

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