Provider Demographics
NPI:1205927878
Name:PARATECH AMBULANCE SERVICE, INC.
Entity type:Organization
Organization Name:PARATECH AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANSHEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-365-8900
Mailing Address - Street 1:9401 W BROWN DEER RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-2009
Mailing Address - Country:US
Mailing Address - Phone:414-365-8900
Mailing Address - Fax:414-365-3889
Practice Address - Street 1:9401 W BROWN DEER RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-2009
Practice Address - Country:US
Practice Address - Phone:414-365-8900
Practice Address - Fax:414-365-3889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60-10990341600000X
WI66-00043341600000X
WI66-04807341600000X
WI6604965341600000X
WI60-00990341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8100138OtherUNITED HEALTH
WIX3031390001OtherMHS COMMERCIAL
WI8591409OtherAETNA
UT0067-1065OtherUNITED HEALTHCARE
WI41319300Medicaid
WIX3031390001OtherMHS COMMERCIAL
IL=========001Medicaid
WI41319300Medicaid
WI8591409OtherAETNA
IL=========001Medicaid
WIWI2336Medicare PIN
WIX3031390001OtherMHS COMMERCIAL
WIWI1241Medicare PIN