Provider Demographics
NPI:1083287163
Name:NORTHSHORE EMS LLC
Entity Type:Organization
Organization Name:NORTHSHORE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-735-5918
Mailing Address - Street 1:153 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3925
Mailing Address - Country:US
Mailing Address - Phone:985-735-5918
Mailing Address - Fax:
Practice Address - Street 1:153 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3925
Practice Address - Country:US
Practice Address - Phone:985-735-5918
Practice Address - Fax:985-735-5916
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHSHORE EMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)