NPI 1477537249 · live from the CMS NPI Registry
Brooks Ambulance INC
Ambulance, Land Transport in Waupun, WI. National Provider Identifier 1477537249, active.
NPI record
| NPI | 1477537249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 426 E Main St, Waupun, WI 53963 |
| Practice phone | 920-324-9132 |
| Mailing address | Po Box 369, Waupun, WI 53963 |
| Enumerated | December 5, 2005 |
| Last updated | April 28, 2011 |
| Authorized official | Leroy Brooks, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 601226 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.