Provider Demographics
NPI:1235309303
Name:SUPERIOR EMS INC.
Entity Type:Organization
Organization Name:SUPERIOR EMS INC.
Other - Org Name:SUPERIOR MEDI-COACH
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTANT/BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-689-0381
Mailing Address - Street 1:2526 E 9TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3152
Mailing Address - Country:US
Mailing Address - Phone:316-689-0381
Mailing Address - Fax:316-462-0939
Practice Address - Street 1:2526 E 9TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3152
Practice Address - Country:US
Practice Address - Phone:316-689-0381
Practice Address - Fax:316-462-0939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)