Provider Demographics
NPI:1891184123
Name:PRIDEMARK EMS, INC
Entity Type:Organization
Organization Name:PRIDEMARK EMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARCOTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334850-855-6240
Mailing Address - Street 1:104 N WHALEY ST
Mailing Address - Street 2:
Mailing Address - City:OPP
Mailing Address - State:AL
Mailing Address - Zip Code:36467-2142
Mailing Address - Country:US
Mailing Address - Phone:334-493-0299
Mailing Address - Fax:334-493-0299
Practice Address - Street 1:104 N WHALEY ST
Practice Address - Street 2:
Practice Address - City:OPP
Practice Address - State:AL
Practice Address - Zip Code:36467-2142
Practice Address - Country:US
Practice Address - Phone:334-493-0299
Practice Address - Fax:334-493-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport