Provider Demographics
NPI:1013364876
Name:MERCY EMS, LLC
Entity Type:Organization
Organization Name:MERCY EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-251-5511
Mailing Address - Street 1:2121 HIGHWAY 42 N STE C
Mailing Address - Street 2:
Mailing Address - City:JENKINSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30234-2459
Mailing Address - Country:US
Mailing Address - Phone:470-251-5511
Mailing Address - Fax:470-251-5513
Practice Address - Street 1:2121 HIGHWAY 42 N STE C
Practice Address - Street 2:
Practice Address - City:JENKINSBURG
Practice Address - State:GA
Practice Address - Zip Code:30234-2459
Practice Address - Country:US
Practice Address - Phone:470-251-5511
Practice Address - Fax:470-251-5513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)