Provider Demographics
NPI:1891413191
Name:EMMANUEL MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:EMMANUEL MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TRANSPORTATION
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:GAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-538-8737
Mailing Address - Street 1:2405 CROSSHILL ST
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28312-9338
Mailing Address - Country:US
Mailing Address - Phone:833-538-8737
Mailing Address - Fax:
Practice Address - Street 1:2405 CROSSHILL ST
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:NC
Practice Address - Zip Code:28312-9338
Practice Address - Country:US
Practice Address - Phone:833-538-8737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company