Extended Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

764 Issued in AL

Legal business name

EXTENDED EMERGENCY MEDICAL SERVICES

Practice address

779 Lakeside Dr
Mobile, AL 36693-5113

Phone

(251) 660-0061

Fax

(251) 662-8205

NPI assigned

May 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Lunan

Title

Ceo

Phone

(205) 695-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154389971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355921497",
            "telephone_number": "205-695-9800",
            "fax_number": "205-695-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 LAKESIDE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366935113",
            "telephone_number": "251-660-0061",
            "fax_number": "251-662-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-695-9800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "51050095",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Mobile, AL
• Providers in Mobile, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.