Provider Demographics
NPI:1295066371
Name:ICARE-EMS,INC.
Entity type:Organization
Organization Name:ICARE-EMS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:336-292-3320
Mailing Address - Street 1:425 OLD RICEVILLE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-3068
Mailing Address - Country:US
Mailing Address - Phone:423-745-0467
Mailing Address - Fax:423-744-3500
Practice Address - Street 1:425 OLD RICEVILLE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3068
Practice Address - Country:US
Practice Address - Phone:423-745-0467
Practice Address - Fax:423-744-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10118341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance