MEDICARE: AEGIS GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416A0800X	Air Ambulance

General Provider Information

NPI Number	:	1811843089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEGIS GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 1374
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54305-1374
Country	:	US
Telephone Number	:	920-469-9779
Fax Number	:

Provider Business Practice Location Address
First Line	:	1765 ALLOUEZ AVE
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-5645
Country	:	US
Telephone Number	:	920-469-9779
Fax Number	:

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	ELAINA JOHNSON
Credential	:
Telephone Number	:	920-884-3010

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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