Organization
MEDIC-1 AMBULANCE SERVICE INC.
Active
Organization
MEDIC-1 AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON SHIPP (CEO/ PRESIDENT)
(626) 385-0440
Entity
Organization
Contact information
Practice address
5462 IRWINDALE AVE, STE B, IRWINDALE, CA 91706-2074
(626) 385-0440
(626) 815-2852
Mailing address
5462 IRWINDALE AVE, STE B, IRWINDALE, CA 91706-2074
(626) 385-0440
(626) 815-2852
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1822
CHP LICENSE #
CA
01
—
2368718
CALIF. CORPORATION #
CA
05
—
MTE01065F
—
CA
Enumeration date
06/30/2005
Last updated
07/29/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up