Provider Demographics
NPI:1437798014
Name:AEMS
Entity Type:Organization
Organization Name:AEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:208-731-7319
Mailing Address - Street 1:2511 MOUNTAIN CITY HWY
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-4496
Mailing Address - Country:US
Mailing Address - Phone:775-993-2800
Mailing Address - Fax:775-993-2801
Practice Address - Street 1:2511 MOUNTAIN CITY HWY
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4496
Practice Address - Country:US
Practice Address - Phone:775-993-2800
Practice Address - Fax:775-993-2801
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPEN QUICK CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care