Provider Demographics
NPI:1982683181
Name:PARAMOUNT EMERGENCY MEDICAL SERVICE INC
Entity Type:Organization
Organization Name:PARAMOUNT EMERGENCY MEDICAL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-690-9222
Mailing Address - Street 1:5070 WOLFF RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2561
Mailing Address - Country:US
Mailing Address - Phone:563-690-9222
Mailing Address - Fax:563-557-8204
Practice Address - Street 1:285 LOCUST ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6932
Practice Address - Country:US
Practice Address - Phone:563-690-9111
Practice Address - Fax:563-557-8203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23111003416L0300X
WI66018843416L0300X
IL10103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0424432Medicaid
IN35423OtherWELLMARK BC & BS
WI82631300Medicaid
IA0424432Medicaid
IAI10746Medicare ID - Type Unspecified
IA0424432Medicaid
WI000081276Medicare ID - Type UnspecifiedWI MEDICARE
WI82631300Medicaid