Med Lift LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MED LIFT LLC

Practice address

1235 N Midland Blvd
Nampa, ID 83651-1734

Phone

(832) 288-0328

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Odie Harris III

Title

President

Phone

(832) 288-0328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1700460888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 E MYSTIC MDW",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212263",
            "telephone_number": "832-288-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511734",
            "telephone_number": "832-288-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LIFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ODIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-288-0328",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann McOmber, LCP
• Molly June McOmber, LPC
• Ryley McPeters, M.D.
• Ryan H Mecham, MD
• Sydney Mecham, AUD
• Bryan Reed Medaris, D.D.S.
• Medical Associates of Idaho, LLC
• Medical Directors of Idaho PLLC
• Juan Miguel Medina Araujo
• Mednow, Inc (MedNow Pharmacy #4)

• Non-emergency Medical Transport (VAN) in Nampa, ID
• Providers in Nampa, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.