MEDICARE: HOSPITAL DISPATCH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416A0800X	Air Ambulance

General Provider Information

NPI Number	:	1093295628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL DISPATCH, LLC

Provider Business Mailing Address
First Line	:	3175 N RAINBOW BLVD # 342
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4578
Country	:	US
Telephone Number	:	888-976-5782
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 5TH AVE S # 506
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-4926
Country	:	US
Telephone Number	:	855-326-7201
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	KENNETH FOX
Credential	:
Telephone Number	:	128-676-6296

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	05/09/2025

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