Gems Ambulance, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

871 Issued in AR

Legal business name

GEMS AMBULANCE, INC

Practice address

157 Houston Ave
Perryville, AR 72126-9451

Phone

(501) 889-5749

Fax

(501) 889-2212

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Don E Galbraith

Title

Nremti Owner

Phone

(501) 889-5749

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235200015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721260715",
            "telephone_number": "501-889-5749",
            "fax_number": "501-889-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HOUSTON AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721269451",
            "telephone_number": "501-889-5749",
            "fax_number": "501-889-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMS AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALBRAITH",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NREMTI   OWNER",
        "authorized_official_telephone_number": "501-889-5749"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "871",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189247",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Perryville, AR
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• 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.