Provider Demographics
NPI:1972839512
Name:E,M,C, HEALTH & TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:E,M,C, HEALTH & TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:DAWNE
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-496-1922
Mailing Address - Street 1:PO BOX 28231
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-0231
Mailing Address - Country:US
Mailing Address - Phone:314-496-1922
Mailing Address - Fax:314-383-0697
Practice Address - Street 1:7619 BERMUDA CT
Practice Address - Street 2:
Practice Address - City:NORMANDY
Practice Address - State:MO
Practice Address - Zip Code:63121-1405
Practice Address - Country:US
Practice Address - Phone:314-496-1922
Practice Address - Fax:314-383-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC0940955343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)