Provider Demographics
NPI:1184899478
Name:MEDICS FIRST INC.
Entity type:Organization
Organization Name:MEDICS FIRST INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT / TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:217-535-0100
Mailing Address - Street 1:PO BOX 4849
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62708-4849
Mailing Address - Country:US
Mailing Address - Phone:217-535-0100
Mailing Address - Fax:217-535-2385
Practice Address - Street 1:1600 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-5662
Practice Address - Country:US
Practice Address - Phone:217-535-0100
Practice Address - Fax:217-535-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL216643Medicare PIN