MEDICWEST AMBULANCE, INC. NPI 1265065130

Ambulance in North Las Vegas, NV

NPI 1265065130 Organization Ambulance CLIA Number 29D2195726 CLIA Certificate of Waiver

About MEDICWEST AMBULANCE, INC.

Medicwest Ambulance, Inc. is a provider established in North Las Vegas, Nevada specializing in ambulance. The NPI number of Medicwest Ambulance, Inc. is 1265065130 and was assigned on February 2020. The practitioner's primary taxonomy code is 341600000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Eric Thomas (Svp, Of Revenue Management)

The CLIA number of Medicwest Ambulance, Inc. is 29D2195726 registered as a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Medicwest Ambulance, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1265065130

Provider NameMEDICWEST AMBULANCE, INC.
Provider Location Address9 W DELHI AVE NORTH LAS VEGAS, NV 89032
Provider Mailing Address6363 S FIDDLERS GREEN CIR FL 15 GREENWOOD VILLAGE, CO 80111
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date02-19-2020
Last Update Date02-19-2020


Primary Taxonomy

Taxonomy Code341600000X
ClassificationAmbulance
TypeTransportation Services
Taxonomy DescriptionAn emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Business Address

MEDICWEST AMBULANCE, INC.
9 W DELHI AVE
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 650-9900

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Mailing Address

MEDICWEST AMBULANCE, INC.
6363 S FIDDLERS GREEN CIR FL 15
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 334-2406



Authorized Official

Authorized Official Name ERIC THOMAS
Authorized Official TitleSVP, OF REVENUE MANAGEMENT
Authorized Official Phone(972) 829-8355

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1265065130 is:

CLIA Number29D2195726
Facility TypeAMBULANCE
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
13416L0300XTransportation ServicesAmbulanceLand TransportNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1003006180MEDICAID (05)NV

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962439026MEDICWEST AMBULANCE, INC
Organization
Ambulance (Land Transport)9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(602) 437-1431
1205311511MR. STEPHEN J JOHNSON COMMUNITY PARAMEDIC
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 224-5066
1588139620 STEPHANIE LARAE TEAGUE
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 650-9900
1053886879 CHRISTOPHER M DOBSON COMMUNITY PARAMEDIC
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 224-5066
1932674769 CASEY SWANK
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 650-9900
1467927293 JULIE WALTERS
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 650-9900
1740755412 ALEX DAMIAN LOPEZ
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 650-9900
1508331950 SHAUNA MARIE WEBB
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 650-9900
1174095715 KADY DABASH COMMUNITY PARAMEDIC
Individual
Emergency Medical Technician, Paramedic9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 650-9900
1003006180MEDICWEST AMBULANCE, INC.
Organization
Ambulance9 W DELHI AVE
NORTH LAS VEGAS, NV 89032
(702) 224-5056

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.