Emt Medical Transfers, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EMT MEDICAL TRANSFERS, INC

Practice address

510 E Jackson Ave
West Memphis, AR 72301-4336

Phone

(800) 451-8036

Fax

(870) 777-8479

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer M Revels

Title

Office Manager

Phone

(800) 451-8036

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1013016054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1370",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718021370",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E JACKSON AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014336",
            "telephone_number": "800-451-8036",
            "fax_number": "870-777-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMT MEDICAL TRANSFERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "REVELS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "800-451-8036",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102021715",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARKANSAS",
            "identifier": "47806",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dale Engelberg, MA
• Lawanda English
• Stacia Latorria Evans, BCBA
• Jacob Kannan Everhart, DDS
• Evolve Counseling & Consultation

• Land Ambulance in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.