Provider Demographics
NPI:1093221962
Name:AS ONE EMS LLC
Entity Type:Organization
Organization Name:AS ONE EMS LLC
Other - Org Name:AS 1 EMS LLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIUS
Authorized Official - Middle Name:JAMALE
Authorized Official - Last Name:MOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-732-8040
Mailing Address - Street 1:317 HARLEY FARMS DR
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-5634
Mailing Address - Country:US
Mailing Address - Phone:205-732-8040
Mailing Address - Fax:205-732-8040
Practice Address - Street 1:317 HARLEY FARMS DR
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-5634
Practice Address - Country:US
Practice Address - Phone:205-732-8040
Practice Address - Fax:205-732-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0552908783416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport