Provider Demographics
NPI:1598876658
Name:CHEROKEE EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:CHEROKEE EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-927-2040
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:CENTRE
Mailing Address - State:AL
Mailing Address - Zip Code:35960-0275
Mailing Address - Country:US
Mailing Address - Phone:256-927-2040
Mailing Address - Fax:256-927-8639
Practice Address - Street 1:1913 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CENTRE
Practice Address - State:AL
Practice Address - Zip Code:35960-2812
Practice Address - Country:US
Practice Address - Phone:256-927-2040
Practice Address - Fax:256-927-8639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8283416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051550390Medicaid
AL051550390Medicaid