Provider Demographics
NPI:1972011427
Name:KNIGHTS EMERGENCY MEDICAL SEVICE INC.
Entity Type:Organization
Organization Name:KNIGHTS EMERGENCY MEDICAL SEVICE INC.
Other - Org Name:KNIGHTS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-833-8154
Mailing Address - Street 1:3027 HIGHWAY 81 E
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-7158
Mailing Address - Country:US
Mailing Address - Phone:770-833-8154
Mailing Address - Fax:
Practice Address - Street 1:3027 HIGHWAY 81 E
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-7158
Practice Address - Country:US
Practice Address - Phone:770-833-8154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport