Provider Demographics
NPI:1194724344
Name:TOLEDO EMERGENCY SERVICES
Entity type:Organization
Organization Name:TOLEDO EMERGENCY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR-CITY OF TOLEDO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:641-484-3580
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:IA
Mailing Address - Zip Code:52342-0064
Mailing Address - Country:US
Mailing Address - Phone:641-484-3580
Mailing Address - Fax:641-484-2691
Practice Address - Street 1:100 S COUNTY RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:IA
Practice Address - Zip Code:52342-1056
Practice Address - Country:US
Practice Address - Phone:641-484-3580
Practice Address - Fax:641-484-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA28606003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0199984Medicaid
IA09592OtherIA. BC/BS
IA590006522OtherRAILROAD MEDICARE
IA0199984Medicaid
IA09592OtherIA. BC/BS