Healthcare Provider Details

I. General information

NPI: 1063524585
Provider Name (Legal Business Name): CURTIS UNIVERSAL AMBULANCE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 W LISBON AVE
MILWAUKEE WI
53205-1401
US

IV. Provider business mailing address

PO BOX 2007
MILWAUKEE WI
53201-2007
US

V. Phone/Fax

Practice location:
  • Phone: 414-933-7600
  • Fax:
Mailing address:
  • Phone: 414-276-7711
  • Fax: 414-276-3291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number6604875
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-01320
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-21320
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-40098
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-41320
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-00098
License Number StateWI
# 7
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number60-10098
License Number StateWI

VIII. Authorized Official

Name: MR. ANDREW J BERGER
Title or Position: VP OF ADMINISTRATION
Credential:
Phone: 414-276-9890