Medic on-Site Services, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1148 Issued in IN

Legal business name

MEDIC ON-SITE SERVICES, LLC

Practice address

4925 Hitch Peters Rd
Evansville, IN 47711-7916

Phone

(812) 204-9283

Fax

(812) 479-1144

NPI assigned

Jul 18, 2011

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard H Wallis, NREMT-P

Title

Ceo/President

Phone

(812) 204-9283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1609164250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5145",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165145",
            "telephone_number": "812-204-9283",
            "fax_number": "812-479-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 HITCH PETERS RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477117916",
            "telephone_number": "812-204-9283",
            "fax_number": "812-479-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC ON-SITE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "812-204-9283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "1148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny McWilliams, DDS
• Marina Lee Melton McWilliams, FNP-BC
• Tia Meadows
• Jason Michael Meckler, MD
• Med 1St of Evansville, PC
• Medical Cosmetic Center, LLC
• Medical Service Company (Medical Service Compnaies)
• Medical Services of America, Inc. (Medical Services of America Hospice)
• Gerard W Medicis, MSW, LCSW
• Medihealth Primary Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.