Provider Demographics
NPI:1235200015
Name:GEMS AMBULANCE, INC
Entity Type:Organization
Organization Name:GEMS AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NREMTI OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALBRAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-889-5749
Mailing Address - Street 1:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72126-0715
Mailing Address - Country:US
Mailing Address - Phone:501-889-5749
Mailing Address - Fax:501-889-2212
Practice Address - Street 1:157 HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72126-9451
Practice Address - Country:US
Practice Address - Phone:501-889-5749
Practice Address - Fax:501-889-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8713416L0300X
AR8723416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00189247OtherRAILROAD MEDICARE
ARP00189247OtherRAILROAD MEDICARE
AR=========OtherTRICARE
AR=========OtherTRICARE