Provider Demographics
NPI:1437117223
Name:EMERGYSTAT, INC.
Entity Type:Organization
Organization Name:EMERGYSTAT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-695-9800
Mailing Address - Street 1:PO BOX 1497
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:AL
Mailing Address - Zip Code:35592-1497
Mailing Address - Country:US
Mailing Address - Phone:205-695-9800
Mailing Address - Fax:205-695-7677
Practice Address - Street 1:339A HURON AVE
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3107
Practice Address - Country:US
Practice Address - Phone:985-732-2100
Practice Address - Fax:985-732-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA91100913416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1137936Medicaid
LA1137936Medicaid