Mission Medical Services, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MISSION MEDICAL SERVICES, LLC

Practice address

305 Buckingham Way
Logansport, IN 46947-2465

Phone

(574) 225-1551

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Mike Fort, NREMT-I

Title

Owner

Phone

(317) 775-6751

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1497111801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000 MSC 8013",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418013",
            "telephone_number": "317-849-6628",
            "fax_number": "317-849-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BUCKINGHAM WAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472465",
            "telephone_number": "574-225-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-775-6751",
        "authorized_official_credential": "NREMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Miller, CRNA
• Michelle Miller
• Miller's Health Systems, Inc. (Miller's Merry Manor)
• Jean Mills, BA
• Bonnie Miltenberger, PMHNP-BC
• Despina Moise, MD
• Hollis L Moor, BS
• Jacob Allen Moore, RBT
• Sheri L Moore, BGS
• David L Morrical, M.D.

• Land Ambulance in Logansport, IN
• Providers in Logansport, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.