| Organization Name: | MEDIVAC CORP |
| NPI Number: | 1215934849 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID MILLER (GENERAL MANAGER) |
| Mailing Address: | 812 Cyclone Ave Harlan |
| State: | IA US |
| Postal Code: | 515371300 |
| Phone Number: | 7127553800 |
| Fax Number: | 7127557151 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 11/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 5105 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |