Provider Demographics
NPI:1184615502
Name:RAMPART EMS, INC.
Entity type:Organization
Organization Name:RAMPART EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:MANSON
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:906-786-2334
Mailing Address - Street 1:828 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-1531
Mailing Address - Country:US
Mailing Address - Phone:906-786-2051
Mailing Address - Fax:906-786-0080
Practice Address - Street 1:828 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-1531
Practice Address - Country:US
Practice Address - Phone:906-786-2051
Practice Address - Fax:906-786-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2110023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3003006Medicaid
MI3003006Medicaid
MI0B10006Medicare ID - Type UnspecifiedPROVIDER NUMBER