MEDIC EMS (NPI# 1801861950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801861950 |
| Entity Type | Organization |
| Organization Name | MEDIC EMS |
| Practice Address |
1204 E High St Davenport IA 52803-2436 |
| Practice Telephone | 5633236806 |
| Practice Fax Number | 5633231705 |
| Mailing Telephone | 5633236806 |
| Mailing Fax Number | 5633231705 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-01-28 |
| Authorized Official Name | DR. RICHARD L VERMEER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5632100801 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
012670 | IL | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
2821000 | IA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0208256 | 05 | |
| IA | WELLMARK BC/BS IA | 02431 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MEDIC EMS | Medic Ems, 1204 East High Street, Davenport, IA 52803 |
| System for Award Management (SAM) Entities | MEDIC EMS-WINGS INC. | 5 W Haven Dr, Arden, NC 28704-9713 |
| Street Address |
1204 E HIGH ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662139 | Stage Coach Medical Transport, LLC | Ambulance | 2202 E 48th St, Davenport, IA 52807-1214 | 2020-09-01 |
| 1093955643 | Town of Davenport | Ambulance | 214 Broadway, Davenport, OK 74026-0279 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445333 | Harpers Ferry Ems Association Inc | Ambulance | 133 North 4th St, Harpers Ferry, IA 52146-9643 | 2020-10-21 |
| 1043848237 | City of Fort Madison | Ambulance | 2335 Avenue L, Fort Madison, IA 52627-4031 | 2020-04-01 |
| 1316502826 | Coin Fire and Rescue | Ambulance | 211 First St, Coin, IA 51636-9998 | 2019-05-09 |
| 1265998942 | City of Iowa Falls | Ambulance | 217 S River St, Iowa Falls, IA 50126-2000 | 2019-02-18 |
| 1487127767 | City of Wallingford | Ambulance | 101 St. James Ave., Wallingford, IA 51365-0307 | 2019-01-09 |
| 1366915241 | Camp Twp - Polk County | Ambulance | 104 Brown St, Runnells, IA 50237-7720 | 2019-01-03 |
| 1275003402 | Westgate Fire & Rescue | Ambulance | 105 Jamison St S, Westgate, IA 50681-8640 | 2018-11-30 |
| 1861969578 | City of Centerville | Ambulance | 314 E Maple St, Centerville, IA 52544-2238 | 2018-10-31 |
| 1669984324 | City of Sioux City Accounting Division | Ambulance | 601 Douglas St, Sioux City, IA 51101-1200 | 2017-11-02 |
| 1790213478 | Exira Fire & Ems Association Incorporated | Ambulance | 2751 Highway 71, Exira, IA 50076-7648 | 2017-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.