| Organization Name: | MEDIC-1 AMBULANCE SERVICE INC. |
| NPI Number: | 1518964022 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GORDON SHIPP (CEO/ PRESIDENT) |
| Mailing Address: | 5462 Irwindale Ave Ste B Irwindale |
| State: | CA US |
| Postal Code: | 917062074 |
| Phone Number: | 6263850440 |
| Fax Number: | 6268152852 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 07/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |