MEDIC EMS NPI 1801861950

NPI Information

NPI: 1801861950
Provider Name: MEDIC EMS
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1204 E HIGH ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 323-6806
Get Directions

MEDIC EMS is a land transport ambulance in Davenport, IA. MEDIC EMS NPI is 1801861950. The provider is registered as an organization entity type.

The provider's business location address is:

1204 E HIGH ST
DAVENPORT, IA
ZIP 52803-436
Phone: (563) 323-6806
Fax: (563) 323-1705

The provider's authorized official is Richard L Vermeer .
The authorized official title is Medical Director and has the following contact phone number (563) 210-0801.

The CLIA number assigned to this NPI record is 16D0688091 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 1/28/2013.

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	3416L0300X	Ambulance	Land Transport	012670	ILLINOIS	No
2	3416L0300X	Ambulance	Land Transport	2821000	IOWA	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	Other Provider Identifier Issuer
1	02431	OTHER	IOWA	WELLMARK BC/BS IA
2	02431	MEDICARE PIN
3	0208256	MEDICAID	IOWA
4	=========001	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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