Provider Demographics
NPI:1396379533
Name:EMERGE TRANSPORT, LLC
Entity Type:Organization
Organization Name:EMERGE TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-250-3900
Mailing Address - Street 1:PO BOX 4054
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33885-4054
Mailing Address - Country:US
Mailing Address - Phone:863-446-0603
Mailing Address - Fax:
Practice Address - Street 1:4803 VILABELLA DR
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2357
Practice Address - Country:US
Practice Address - Phone:863-250-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes342000000XTransportation ServicesTransportation Network CompanyGroup - Single Specialty
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No341600000XTransportation ServicesAmbulance
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)