Provider Demographics
NPI:1639462476
Name:AMERIMED EMERGENCY MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:AMERIMED EMERGENCY MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:PARRY
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:404-557-4097
Mailing Address - Street 1:PO BOX 1853
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30515-8853
Mailing Address - Country:US
Mailing Address - Phone:678-546-8110
Mailing Address - Fax:
Practice Address - Street 1:5012 BRISTOL INDUSTRIAL WAY
Practice Address - Street 2:STE. 110
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-9050
Practice Address - Country:US
Practice Address - Phone:678-546-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance