Active NPI
Medicwest Ambulance, Inc.
- Ambulance
- North Las Vegas, NV
National Provider Identifier
1003006180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MEDICWEST AMBULANCE, INC.
- Practice address
- 4700 Mitchell St
North Las Vegas, NV 89081-2707 - Phone
- (702) 650-9900
- Fax
- (702) 650-3300
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
4700 Mitchell St
North Las Vegas, NV 89081-2707
Mailing address
PO Box 745774
Los Angeles, CA 90074-5774
Phone (800) 913-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003006180 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080125000256 | NV | Part B Supplier - Ambulance Service Supplier | 3476565987 | Practice locations: North Las Vegas, NV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2195726 | Medicwest Ambulance, Inc | Certificate of waiver | Oct 11, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Medicwest Ambulance Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- North Las Vegas, NV
- NPI 1265065130
Locations
4700 Mitchell St
North Las Vegas, NV 89081
Phone (702) 650-9900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1003006180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745774",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900745774",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MITCHELL ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890812707",
"telephone_number": "702-650-9900",
"fax_number": "702-650-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICWEST AMBULANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "TIERNEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003006180",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.