Provider Demographics
NPI:1780752402
Name:LINCOLN EMS
Entity type:Organization
Organization Name:LINCOLN EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-763-7777
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096-0172
Mailing Address - Country:US
Mailing Address - Phone:205-763-7777
Mailing Address - Fax:
Practice Address - Street 1:82 MCLAIN AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096-0172
Practice Address - Country:US
Practice Address - Phone:205-763-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000032298Medicaid
AL510-3298OtherBLUE CROSS
AL000032298Medicare PIN