Provider Demographics
NPI:1891740882
Name:EMERGENCY MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:EMERGENCY MEDICAL SERVICES PC
Other - Org Name:MUSCATINE MEDICAL SURGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-263-4848
Mailing Address - Street 1:2104 CEDARWOOD DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2659
Mailing Address - Country:US
Mailing Address - Phone:563-263-4848
Mailing Address - Fax:563-263-3332
Practice Address - Street 1:2104 CEDARWOOD DR
Practice Address - Street 2:STE 200
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2659
Practice Address - Country:US
Practice Address - Phone:563-263-4848
Practice Address - Fax:563-263-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23307174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1972574028OtherCALVIN ATWELL NPI #
IA1356670772OtherRACHEL CREAMER
IA1730150665OtherMEYER NPI #
IA39496OtherBCBS IA
IL0008132142OtherBCBS IL
IA0464982Medicaid
IA1770632069OtherBACHMAN NPI #
IL1972574028OtherATWELL IL NPI#
IA1235571936OtherNATE SCADLOCK
IL213615Medicare PIN
IA0464982Medicaid