Active NPI
Meds-1 Ambulance Service
- Land Ambulance
- Grand Rapids, MN
National Provider Identifier
1861583130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0319
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280268600 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.