Provider Demographics
NPI:1336416718
Name:EMMANUEL MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:EMMANUEL MEDICAL SERVICES LLC
Other - Org Name:EMMANUEL EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKERING
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:901-267-5443
Mailing Address - Street 1:2510 LAMAR AVE.
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114
Mailing Address - Country:US
Mailing Address - Phone:901-267-5443
Mailing Address - Fax:586-816-0207
Practice Address - Street 1:2510 LAMAR AVE.
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114
Practice Address - Country:US
Practice Address - Phone:901-267-5443
Practice Address - Fax:586-816-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance