Provider Demographics
NPI:1720563943
Name:EMERALD COAST MEDICAL TRANSPORT, INC.
Entity Type:Organization
Organization Name:EMERALD COAST MEDICAL TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-780-3503
Mailing Address - Street 1:8006 HIGH POINT RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-5259
Mailing Address - Country:US
Mailing Address - Phone:850-780-3503
Mailing Address - Fax:850-780-3503
Practice Address - Street 1:8006 HIGH POINT RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-5259
Practice Address - Country:US
Practice Address - Phone:850-780-3503
Practice Address - Fax:850-780-3503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)