Provider Demographics
NPI:1518231018
Name:STAT EMS LLC
Entity Type:Organization
Organization Name:STAT EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-812-7271
Mailing Address - Street 1:664 BLUE POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-1814
Mailing Address - Country:US
Mailing Address - Phone:631-447-2800
Mailing Address - Fax:631-447-2808
Practice Address - Street 1:664 BLUE POINT RD
Practice Address - Street 2:
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-1814
Practice Address - Country:US
Practice Address - Phone:631-447-2800
Practice Address - Fax:631-447-2808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCK EMS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport