MEDCORP EMS SOUTH LLC NPI 1154399137

NPI Information

NPI: 1154399137
Provider Name: MEDCORP EMS SOUTH LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
745 MEDCORP DR
TOLEDO, OH
ZIP 43608
Phone: (419) 727-7000
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MEDCORP EMS SOUTH LLC is a land transport ambulance in Toledo, OH. MEDCORP EMS SOUTH LLC NPI is 1154399137. The provider is registered as an organization entity type.

The provider's business location address is:

745 MEDCORP DR
TOLEDO, OH
ZIP 43608-376
Phone: (419) 727-7000
Fax: (419) 729-6411

The provider's authorized official is Richard Bage .
The authorized official title is President/ceo and has the following contact phone number (419) 727-7000.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 11/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport	1676	KENTUCKY	No
2	3416L0300X	Ambulance	Land Transport	480382	OHIO	No
3	3416S0300X	Ambulance	Water Transport	1657	KENTUCKY	No
4	343900000X	Non-emergency Medical Transport (VAN)		N/A	OHIO	No
5	347B00000X	Bus		1677	KENTUCKY	No
6	3416L0300X	Ambulance	Land Transport	1271	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	9356871	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	2613130	MEDICAID	OHIO
3	9356871	MEDICARE PIN	OHIO
4	55001382	MEDICAID	KENTUCKY
5	56031065	MEDICAID	KENTUCKY
6	P00274180	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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