Active NPI
Medics Ambulance Service, Inc.
- Land Ambulance
- Lake Worth, FL
National Provider Identifier
1144290693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0617
- Legal business name
- MEDICS AMBULANCE SERVICE, INC.
- Practice address
- 1105 Barnett Dr Ste C
Lake Worth, FL 33461-2603 - Phone
- (561) 533-5633
- Fax
- (561) 588-5199
- NPI assigned
- Jan 26, 2006
- 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
- Timothy Joseph Dorn
- Title
- Chief Administrative Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | 0617 | FL | Primary |
Addresses
Primary practice location
1105 Barnett Dr Ste C
Lake Worth, FL 33461-2603
Mailing address
PO Box 402079
Atlanta, GA 30384-2079
Phone (800) 913-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009978901 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100714000360 | FL | Part B Supplier - Ambulance Service Supplier | 3678605466 | Practice locations: Lake Worth Beach, FL |
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 |
|---|---|---|---|
| 10D2241989 | Medics Ambulance Service, Inc | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
160 SW 12th Ave
Deerfield Beach, FL 33442
Phone (888) 327-2233
1105 Barnett Dr
Ste C
Lake Worth Beach, FL 33461
Phone (303) 334-2489
6903 Vista Pkwy N
West Palm Beach, FL 33411
Phone (561) 681-0273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1144290693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402079",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303842079",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 BARNETT DR STE C",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334612603",
"telephone_number": "561-533-5633",
"fax_number": "561-588-5199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICS AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "DORN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "FL",
"license": "0617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009978901",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.