Provider Demographics
NPI:1568788628
Name:EM AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:EM AMBULANCE SERVICE INC
Other - Org Name:EM AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-504-3350
Mailing Address - Street 1:PO BOX 20521
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0521
Mailing Address - Country:US
Mailing Address - Phone:713-504-3350
Mailing Address - Fax:
Practice Address - Street 1:2700 WESTRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1557
Practice Address - Country:US
Practice Address - Phone:713-504-3350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000531OtherTDH LICENSE
TXAMB 1121OtherMEDICARE