Provider Demographics
NPI:1891267084
Name:BALDWIN EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:BALDWIN EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARAMEDIC
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GANEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:251-421-7831
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-0848
Mailing Address - Country:US
Mailing Address - Phone:251-421-7831
Mailing Address - Fax:
Practice Address - Street 1:1902 HAND AVE
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-4113
Practice Address - Country:US
Practice Address - Phone:251-421-7831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance