Organization Active NPI

County of Scott

Doing business as MEDIC EMS of Scott County

  • Land Ambulance
  • Davenport, IA
National Provider Identifier
1003691916
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF SCOTT
Doing business as
MEDIC EMS of Scott County
Practice address
1204 E High St
Davenport, IA 52803-2436
Phone
(563) 326-8611
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Farmer
Title
Director of Budget and Admin
Phone
(564) 326-8651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1204 E High St
Davenport, IA 52803-2436

Mailing address

600 W 4TH St FL 6
Davenport, IA 52801-1003

Other names 1

  • MEDIC EMS of Scott County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231118000241 IA Part B Supplier - Ambulance Service Supplier 8325264328 Practice locations: Davenport, IA

National Provider Directory

National Provider Directory
Tax ID family
Scott County Health Department6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 W 4th St
Fl 6
Davenport, IA 52801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1003691916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 4TH ST FL 6",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E HIGH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032436",
            "telephone_number": "563-326-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF BUDGET AND ADMIN",
        "authorized_official_telephone_number": "564-326-8651"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIC EMS of Scott County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.