Provider Demographics
NPI:1851555072
Name:EMMANUEL MEDICAL TRANSPORTS AND SERVICES
Entity Type:Organization
Organization Name:EMMANUEL MEDICAL TRANSPORTS AND SERVICES
Other - Org Name:EMMANUEL EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PICKERING
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:901-626-9506
Mailing Address - Street 1:3567 TUTWILER AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-3601
Mailing Address - Country:US
Mailing Address - Phone:901-626-9506
Mailing Address - Fax:901-473-9179
Practice Address - Street 1:1332 RASCO RD
Practice Address - Street 2:SUITE 344
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671
Practice Address - Country:US
Practice Address - Phone:901-592-5342
Practice Address - Fax:901-473-9179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)