Provider Demographics
NPI:1154574135
Name:UNITED EMERGENCY MEDICAL SERVICES
Entity type:Organization
Organization Name:UNITED EMERGENCY MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER / EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANKINSHIP
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-B
Authorized Official - Phone:219-714-4000
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:CEDAR LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46303-0591
Mailing Address - Country:US
Mailing Address - Phone:219-714-4000
Mailing Address - Fax:219-714-4000
Practice Address - Street 1:9019 W 133RD AVE
Practice Address - Street 2:
Practice Address - City:CEDAR LAKE
Practice Address - State:IN
Practice Address - Zip Code:46303-9200
Practice Address - Country:US
Practice Address - Phone:219-714-4000
Practice Address - Fax:219-714-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
146D00000X, 343900000X
IN1177146N00000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty