Provider Demographics
NPI:1821282856
Name:UNIFIRST EMS INC
Entity Type:Organization
Organization Name:UNIFIRST EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:NABHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-713-2424
Mailing Address - Street 1:PO BOX 740505
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0505
Mailing Address - Country:US
Mailing Address - Phone:832-713-2424
Mailing Address - Fax:
Practice Address - Street 1:104 INDUSTRIAL BLVD STE F
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3170
Practice Address - Country:US
Practice Address - Phone:832-923-5724
Practice Address - Fax:832-430-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-03
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10000453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB719OtherMEDICARE PTAN
TX196468601Medicaid
TX1000045OtherSTATE LICENSE NUMBER