NPIMap

Organization Active NPI

Medcorp Inc.

  • Land Ambulance
  • Toledo, OH
National Provider Identifier
1821066895
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
480142 Issued in OH
Legal business name
MEDCORP INC.
Practice address
745 Medcorp Dr
Toledo, OH 43608-1376
Phone
(419) 727-7000
Fax
(419) 727-8439
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Mr. Richard Bage
Title
President Ceo
Phone
(419) 727-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 06-C-00579-01 OH
Land Ambulance 3416L0300X 480142 OH Primary
Non-emergency Medical Transport (VAN) 343900000X N/A OH

Addresses

Primary practice location

745 Medcorp Dr
Toledo, OH 43608-1376

Mailing address

745 Medcorp Dr
Toledo, OH 43608-1376
Phone (419) 727-7000

Other identifiers 4

IdentifierTypeStateIssuer
0721026MedicaidOH
0236266MedicaidOH
0492819MedicaidOH
0568023MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1821066895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MEDCORP DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081376",
            "telephone_number": "419-727-7000",
            "fax_number": "419-727-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MEDCORP DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081376",
            "telephone_number": "419-727-7000",
            "fax_number": "419-727-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCORP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "BAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "419-727-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "06-C-00579-01",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "480142",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0721026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236266",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492819",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0568023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.