Active NPI
Medix Ambulance Services, Inc
- Land Ambulance
- Burlington, WI
National Provider Identifier
1982603635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6041320
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41346000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.