Provider Demographics
NPI:1659969665
Name:OMNI EMS INCORPORATED
Entity Type:Organization
Organization Name:OMNI EMS INCORPORATED
Other - Org Name:OMNI MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SELEXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-209-9409
Mailing Address - Street 1:4727 LA ESCALONA DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4793
Mailing Address - Country:US
Mailing Address - Phone:832-209-9409
Mailing Address - Fax:
Practice Address - Street 1:4727 LA ESCALONA DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4793
Practice Address - Country:US
Practice Address - Phone:832-209-9409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)