Provider Demographics
NPI:1780499129
Name:EMS TEAM OF IOWA LLC
Entity type:Organization
Organization Name:EMS TEAM OF IOWA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DERECK
Authorized Official - Middle Name:
Authorized Official - Last Name:PRISTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-735-8190
Mailing Address - Street 1:2740 W NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-1108
Mailing Address - Country:US
Mailing Address - Phone:937-877-1235
Mailing Address - Fax:
Practice Address - Street 1:2740 W NATIONAL RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-1108
Practice Address - Country:US
Practice Address - Phone:937-877-1235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)