MEDICARE: TOLEDO EMERGENCY SERVICES

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	3416L0300X	Land Ambulance	2860600	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590006522	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	09592	OTHER	IA	IA. BC/BS

General Provider Information

NPI Number	:	1194724344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOLEDO EMERGENCY SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 64
Second Line	:
City	:	TOLEDO
State	:	IA
Zip	:	52342-0064
Country	:	US
Telephone Number	:	641-484-3580
Fax Number	:	641-484-2691

Provider Business Practice Location Address
First Line	:	100 S COUNTY RD
Second Line	:
City	:	TOLEDO
State	:	IA
Zip	:	52342-1056
Country	:	US
Telephone Number	:	641-484-3580
Fax Number	:	641-484-2691

Authorized Official
Title or Position	:	EMS DIRECTOR-CITY OF TOLEDO
Name	:	MR. GREGORY A. JOHNSON
Credential	:	EMT-P
Telephone Number	:	641-484-3580

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/20/2017

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Directions to “TOLEDO EMERGENCY SERVICES ” Practice Location

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