Medical Express Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

11 8955 Issued in IL

Legal business name

MEDICAL EXPRESS AMBULANCE SERVICE, INC

Practice address

5650 Howard St
Skokie, IL 60077-2623

Phone

(847) 673-6333

Fax

(847) 673-4520

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Rubinson

Title

President & Ceo

Phone

(847) 673-6333

Specialties & licenses 1

Addresses

Other names 1

• MEDEX AMBULANCE SERVICE Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1851343537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772623",
            "telephone_number": "847-673-6333",
            "fax_number": "847-673-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772623",
            "telephone_number": "847-673-6333",
            "fax_number": "847-673-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EXPRESS AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "RUBINSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "847-673-6333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "11 8955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDEX AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Skokie, IL
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.