Provider Demographics
NPI:1265884456
Name:MEDS-1 AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:MEDS-1 AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:DUCHARME
Authorized Official - Suffix:
Authorized Official - Credentials:NREMTP
Authorized Official - Phone:218-326-0020
Mailing Address - Street 1:1328 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-2245
Mailing Address - Country:US
Mailing Address - Phone:218-326-0020
Mailing Address - Fax:218-326-1402
Practice Address - Street 1:1328 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-2245
Practice Address - Country:US
Practice Address - Phone:218-326-0020
Practice Address - Fax:218-326-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN03193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport