Provider Demographics
NPI:1821373754
Name:ERBY CONTRACTORS INC
Entity Type:Organization
Organization Name:ERBY CONTRACTORS INC
Other - Org Name:MAGNUM EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ERBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-625-3866
Mailing Address - Street 1:744 LOWER QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-8810
Mailing Address - Country:US
Mailing Address - Phone:423-625-3866
Mailing Address - Fax:423-623-7135
Practice Address - Street 1:744 LOWER QUARRY RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-8810
Practice Address - Country:US
Practice Address - Phone:423-625-3866
Practice Address - Fax:423-623-7135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000101443416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport