Organization Active NPI

Medix Ambulance Services, Inc

  • Land Ambulance
  • Burlington, WI
National Provider Identifier
1982603635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6041320 Issued in WI
Legal business name
MEDIX AMBULANCE SERVICES, INC
Practice address
147 Industrial Dr
Burlington, WI 53105-2318
Phone
(262) 763-8439
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Louis W. Denko, EMT-P
Title
President/Ceo
Phone
(262) 763-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6041320 WI Primary

Addresses

Primary practice location

147 Industrial Dr
Burlington, WI 53105-2318

Mailing address

PO Box 652
147 Industrial Dr
Burlington, WI 53105-0652
Phone (262) 763-8439

Other identifiers 1

IdentifierTypeStateIssuer
41346000MedicaidWI

National Provider Directory

National Provider Directory

Locations

147 Industrial Dr
Burlington, WI 53105
Phone (262) 763-8439

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982603635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "address_2": "147 INDUSTRIAL DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531050652",
            "telephone_number": "262-763-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 INDUSTRIAL DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052318",
            "telephone_number": "262-763-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX AMBULANCE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENKO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "262-763-8439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6041320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41346000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • 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.