Organization Active NPI

Medevent911 LLC

  • Paramedic
  • Surprise, AZ
National Provider Identifier
1093034167
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
Legal business name
MEDEVENT911 LLC
Practice address
16772 W Bell Rd
Suite 110-274
Surprise, AZ 85374-9702
Phone
(623) 322-1908
Fax
(480) 247-5512
NPI assigned
May 27, 2010
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mr. William Dee McCluskey, CEP
Title
President/Ceo
Phone
(623) 322-1908

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 146D00000X
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X Primary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146N00000X

Addresses

Primary practice location

16772 W Bell Rd
Suite 110-274
Surprise, AZ 85374-9702

Mailing address

16772 W Bell Rd
Suite 110-274
Surprise, AZ 85374-9702
Phone (623) 322-1908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1093034167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD",
            "address_2": "SUITE 110-274",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "623-322-1908",
            "fax_number": "480-247-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD",
            "address_2": "SUITE 110-274",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "623-322-1908",
            "fax_number": "480-247-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEVENT911 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "623-322-1908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEP"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.