Provider Demographics
NPI:1437151107
Name:VBEMS, INC
Entity Type:Organization
Organization Name:VBEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-657-2996
Mailing Address - Street 1:PO BOX 133
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-0133
Mailing Address - Country:US
Mailing Address - Phone:269-657-2996
Mailing Address - Fax:269-657-6525
Practice Address - Street 1:39338 W RED ARROW HWY
Practice Address - Street 2:
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-9315
Practice Address - Country:US
Practice Address - Phone:269-657-2996
Practice Address - Fax:269-657-6525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8010083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI181854716Medicaid
MI590H000010OtherBLUE CROSS BLUE SHIELD
MI181854716Medicaid
MI590058448Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MI0H00001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER