Organization Active NPI

Meds-1 Ambulance Service

  • Land Ambulance
  • Grand Rapids, MN
National Provider Identifier
1861583130
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0319 Issued in MN
Legal business name
MEDS-1 AMBULANCE SERVICE
Practice address
1328 NW 5TH Street
Grand Rapids, MN 55744
Phone
(218) 326-0020
Fax
(218) 326-1402
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Mr. William Kevin McNichols
Title
Owner
Phone
(218) 326-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0319 MN Primary

Addresses

Primary practice location

1328 NW 5TH Street
Grand Rapids, MN 55744

Mailing address

1328 NW 5TH Street
Grand Rapids, MN 55744
Phone (218) 326-0020

Other identifiers 1

IdentifierTypeStateIssuer
280268600MedicaidMN

National Provider Directory

National Provider Directory

Locations

1328 NW 5th St
Grand Rapids, MN 55744
Phone (218) 326-0020

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1861583130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 NW 5TH STREET",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-0020",
            "fax_number": "218-326-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 NW 5TH STREET",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-0020",
            "fax_number": "218-326-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDS-1 AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "MCNICHOLS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-326-0020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280268600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.