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General NPI Number Information
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NPI Number | 1265065130
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Entity Type | Organization
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Legal Business Name | MEDICWEST AMBULANCE, INC.
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 9 W DELHI AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-7836
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Country | US
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Telephone | 702-650-9900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 745774
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City | LOS ANGELES
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State | CA
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Zip | 90074-5774
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Country | US
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Telephone | 800-913-9106
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | TIMOTHY JOSEPH DORN
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Credential |
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Telephone | 833-703-2294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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