Meda-Care Ambulance Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000115 Issued in WI

Legal business name

MEDA-CARE AMBULANCE CORP

Practice address

2515 W Vliet St
Milwaukee, WI 53205-1835

Phone

(414) 342-1148

Fax

(414) 342-0888

NPI assigned

Dec 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yvonne S Larsen

Title

Owner President

Phone

(414) 327-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326025065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194722",
            "telephone_number": "414-327-2880",
            "fax_number": "414-327-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051835",
            "telephone_number": "414-342-1148",
            "fax_number": "414-342-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDA-CARE AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "414-327-2880"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41319600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.