MEDICARE: SENGISTIX, LLC

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	333300000X	Emergency Response System Companies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912176199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENGISTIX, LLC

Provider Business Mailing Address
First Line	:	1444 NORTHLAND DRIVE
Second Line	:	SUITE 150
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1032
Country	:	US
Telephone Number	:	651-695-5817
Fax Number	:	651-789-0089

Provider Business Practice Location Address
First Line	:	1444 NORTHLAND DRIVE
Second Line	:	SUITE 150
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1032
Country	:	US
Telephone Number	:	651-695-5817
Fax Number	:	651-789-0089

Authorized Official
Title or Position	:	CEO
Name	:	TIMOTHY FRANCIS MADDEN
Credential	:
Telephone Number	:	651-695-5817

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	10/15/2020

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Directions to “SENGISTIX, LLC ” Practice Location

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