Provider Demographics
NPI:1184067340
Name:MIDWEST MEDICS, INC.
Entity type:Organization
Organization Name:MIDWEST MEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:815-232-3901
Mailing Address - Street 1:310 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-5137
Mailing Address - Country:US
Mailing Address - Phone:815-232-3901
Mailing Address - Fax:815-232-3902
Practice Address - Street 1:310 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-5137
Practice Address - Country:US
Practice Address - Phone:815-232-3901
Practice Address - Fax:815-232-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1051341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance