NPIMap

Organization Active NPI

Medevac, LLC

  • Emergency Response System Companies
  • Seffner, FL
National Provider Identifier
1255322236
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
Legal business name
MEDEVAC, LLC
Practice address
424 Down Pine Drive
Seffner, FL 33584-3719
Phone
(813) 633-3822
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
E Frank Griswold III, MBA, RRT, EMT
Title
President / Ceo
Phone
(813) 633-3822

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X FL
Emergency Response System Companies 333300000X Primary
Ambulance 341600000X FL
Air Ambulance 3416A0800X FL
Land Ambulance 3416L0300X FL
Non-emergency Medical Transport (VAN) 343900000X FL

Addresses

Primary practice location

424 Down Pine Drive
Seffner, FL 33584-3719

Mailing address

PO Box 654
Mango, FL 33550-0654
Phone (813) 633-3822

Other identifiers 1

IdentifierTypeStateIssuer
46Y26OtherDCFEDERAL CONTRACTOR CAGE CODE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1255322236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "MANGO",
            "state": "FL",
            "postal_code": "335500654",
            "telephone_number": "813-633-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DOWN PINE DRIVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843719",
            "telephone_number": "813-633-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEVAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "813-633-3822",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBA, RRT, EMT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CONTRACTOR CAGE CODE",
            "identifier": "46Y26",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.