Provider Demographics
NPI:1487228474
Name:ESSENTIAL MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ESSENTIAL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-873-0941
Mailing Address - Street 1:3000 S JAMAICA CT STE 175
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2634
Mailing Address - Country:US
Mailing Address - Phone:303-873-0941
Mailing Address - Fax:303-873-0946
Practice Address - Street 1:3000 S JAMAICA CT STE 175
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2634
Practice Address - Country:US
Practice Address - Phone:303-873-0941
Practice Address - Fax:303-873-0946
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESSENTIAL MEDICAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1710074166Medicaid