Provider Demographics
NPI:1609089556
Name:E-MED TRANSPORT SERVICE, INC
Entity Type:Organization
Organization Name:E-MED TRANSPORT SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EJIMOFOR
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-276-4091
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-0092
Mailing Address - Country:US
Mailing Address - Phone:916-645-2697
Mailing Address - Fax:916-654-2697
Practice Address - Street 1:1810 5TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-2328
Practice Address - Country:US
Practice Address - Phone:916-645-2697
Practice Address - Fax:916-645-2697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98621343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)