Provider Demographics
NPI:1184995946
Name:GREATER MEMPHIS EMS
Entity type:Organization
Organization Name:GREATER MEMPHIS EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:901-654-3179
Mailing Address - Street 1:6240 E. SHELBY DR.
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-7735
Mailing Address - Country:US
Mailing Address - Phone:901-654-3179
Mailing Address - Fax:901-654-3263
Practice Address - Street 1:6240 E SHELBY DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-7735
Practice Address - Country:US
Practice Address - Phone:901-654-3179
Practice Address - Fax:901-654-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10147341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance