Provider Demographics
NPI:1881025237
Name:HEART EMS INC
Entity Type:Organization
Organization Name:HEART EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:EMTP
Authorized Official - Phone:606-887-0119
Mailing Address - Street 1:81 SEVENTH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-7871
Mailing Address - Country:US
Mailing Address - Phone:606-887-0119
Mailing Address - Fax:
Practice Address - Street 1:81 SEVENTH ST
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-7871
Practice Address - Country:US
Practice Address - Phone:606-887-0119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance