Active NPI
County of Scott
Doing business as MEDIC EMS of Scott County
- Land Ambulance
- Davenport, IA
National Provider Identifier
1003691916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2023
- 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
- David Farmer
- Title
- Director of Budget and Admin
- Phone
- (564) 326-8651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Department
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Davenport, IA
- NPI 1346390812
-
- Public Health or Welfare Agency
- Davenport, IA
- NPI 1033376298
-
- Public Health or Welfare Agency
- Davenport, IA
- NPI 1225295488
-
- Public Health or Welfare Agency
- Davenport, IA
- NPI 1285724880
-
- Public Health or Welfare Agency
- Davenport, IA
- NPI 1972026201
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
- Costas L. Constantinou, M.D., P.C
- Costco Wholesale Corporation (Costco Optical #1325)
- Costco Wholesale Corporation (Costco Pharmacy #1325)
- Costco Wholesale Corporation (Costco Hearing Aid #1325)
- Cindy Marie Cottrell, RPH
- County of Scott (Scott County Health Department)
- Courageous Aim LLC
- Michael Anthony Cox, LMHC
- Edmund P Coyne, M.D.
- Ritsuko Crabb, D.C.
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.