BROOKS AMBULANCE INC (NPI# 1477537249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477537249 |
| Entity Type | Organization |
| Organization Name | BROOKS AMBULANCE INC |
| Practice Address |
426 E Main St Waupun WI 53963 |
| Mailing Address |
Po Box 369 Waupun WI 53963-0369 |
| Practice Telephone | 9203249132 |
| Practice Fax Number | 9203240968 |
| Mailing Telephone | 9203249132 |
| Mailing Fax Number | 9203240968 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | MR. LEROY F BROOKS (OWNER) |
| Authorized Official Telephone | 9203249132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
601226 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41308400 | 05 |
| Street Address |
426 E MAIN ST |
| City | WAUPUN |
| State | WI |
| Zip Code | 53963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598072712 | Rob Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963-1137 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
| 1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
| 1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
| 1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
| 1588817365 | Senior Community Center Management of Waupun, LLC | Assisted Living Facility | 450 E Franklin Street, Waupun, WI 53963 | 2008-10-24 |
| 1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
| 1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
| 1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
| 1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
| 1023584992 | Stephanie Lynn Bush | Nurse Practitioner | 160 Gateway Dr, Waupun, WI 53963 | 2018-10-18 |
| Find all providers in zip 53963 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598072712 | Rob Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963-1137 | 2010-09-09 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.