Provider Demographics
NPI:1720113798
Name:UNITED MEDEVAC SOLUTIONS, INC.
Entity Type:Organization
Organization Name:UNITED MEDEVAC SOLUTIONS, INC.
Other - Org Name:UMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:254-247-7441
Mailing Address - Street 1:PO BOX 2491
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-2491
Mailing Address - Country:US
Mailing Address - Phone:254-247-7441
Mailing Address - Fax:866-635-9867
Practice Address - Street 1:201 STEARMAN DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2322
Practice Address - Country:US
Practice Address - Phone:512-366-8126
Practice Address - Fax:866-635-9867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000905341600000X, 3416A0800X, 3416L0300X, 3418M1110X, 3418M1120X, 343800000X, 343900000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No3418M1110XTransportation ServicesMilitary/U.S. Coast Guard TransportMilitary or U.S. Coast Guard Ambulance, Ground Transport
No3418M1120XTransportation ServicesMilitary/U.S. Coast Guard TransportMilitary or U.S. Coast Guard Ambulance, Air Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB891OtherBCBS
=========OtherTRICARE
=========OtherTRICARE