Organization Active NPI

Medics Ambulance Service, Inc.

  • Land Ambulance
  • Lake Worth, FL
National Provider Identifier
1144290693
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0617 Issued in FL
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

Updated by the provider on Sep 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009978901MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100714000360 FL Part B Supplier - Ambulance Service Supplier 3678605466 Practice locations: Lake Worth Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2241989Medics Ambulance Service, Inc1105 Barnett Dr, Lake Worth, FL 33461Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.