Provider Demographics
NPI:1427403526
Name:ELITE EMS LLC
Entity Type:Organization
Organization Name:ELITE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDET
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-599-9321
Mailing Address - Street 1:9463 HOLLY RD
Mailing Address - Street 2:STE 104
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2557
Mailing Address - Country:US
Mailing Address - Phone:810-599-9321
Mailing Address - Fax:
Practice Address - Street 1:9463 HOLLY RD
Practice Address - Street 2:STE 104
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2557
Practice Address - Country:US
Practice Address - Phone:810-599-9321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport