Organization Active NPI

Meds-1 Ambulance Service Inc

  • Land Ambulance
  • Grand Rapids, MN
National Provider Identifier
1265884456
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0319 Issued in MN
Legal business name
MEDS-1 AMBULANCE SERVICE INC
Practice address
1328 NW 5TH St
Grand Rapids, MN 55744-2245
Phone
(218) 326-0020
Fax
(218) 326-1402
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mr. James Richard Ducharme, NREMTP
Title
Owner / President
Phone
(218) 326-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0319 MN Primary

Addresses

Primary practice location

1328 NW 5TH St
Grand Rapids, MN 55744-2245

Mailing address

1328 NW 5TH St
Grand Rapids, MN 55744-2245
Phone (218) 326-0020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161103000568 MN Part B Supplier - Ambulance Service Supplier 6406134931 Practice locations: Grand Rapids, MN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1265884456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 NW 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442245",
            "telephone_number": "218-326-0020",
            "fax_number": "218-326-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 NW 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442245",
            "telephone_number": "218-326-0020",
            "fax_number": "218-326-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDS-1 AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "DUCHARME",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "218-326-0020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.

Verify at the official NPI Registry.