Provider Demographics
NPI:1992860894
Name:PRO MED PLUS EMS, LLC
Entity Type:Organization
Organization Name:PRO MED PLUS EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAFF
Authorized Official - Suffix:III
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:504-234-7193
Mailing Address - Street 1:1799 STUMPF BLVD
Mailing Address - Street 2:BLDG. 3 STE. 2
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-3950
Mailing Address - Country:US
Mailing Address - Phone:985-624-7999
Mailing Address - Fax:504-464-9828
Practice Address - Street 1:1799 STUMPF BLVD
Practice Address - Street 2:BLDG. 3 STE. 2
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-3950
Practice Address - Country:US
Practice Address - Phone:985-624-7999
Practice Address - Fax:504-464-9828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9110092341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance