Quad City Helicopter Emergency Medical Service

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

2 251801 Issued in IL

Legal business name

QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE

Doing business as

Med-Force

Practice address

6343 Wolf Rd
Colona, IL 61241-8963

Phone

(309) 796-0373

Fax

(309) 796-9283

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gina L Takacs

Title

Administrator

Phone

(563) 529-3823

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• MED-FORCE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891872552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 GRANT ST PMB 5027",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224927",
            "telephone_number": "563-529-3823",
            "fax_number": "563-355-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 WOLF RD",
            "city": "COLONA",
            "state": "IL",
            "postal_code": "612418963",
            "telephone_number": "309-796-0373",
            "fax_number": "309-796-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY HELICOPTER EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-529-3823",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IL",
            "license": "2 251802",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IA",
            "license": "8001701",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IA",
            "license": "8291700",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IL",
            "license": "2 251801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IOWA",
            "identifier": "24000",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222737",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IL",
            "identifier": "03732004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-FORCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dina Michelle Lentz, PMHNP
• Karen McGuire
• Kathryn Mary Frances Meeker, DC
• Nancykkinley
• Laura Nunez, MS, LMFT
• Erin Schumacher, CLC
• Debara Diane Shady-Dahl, DEVELOPMENTAL THERAP
• Thriving Lifestyles Counseling Solutions, LLC
• Steven Duane Wild, D.C.

• Air Ambulance in Colona, IL
• Providers in Colona, IL by specialty
• Air Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.