Emergency Medical Foundation Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2959 Issued in FL

Legal business name

EMERGENCY MEDICAL FOUNDATION INC

Practice address

112 Carswell Ave
Holly Hill, FL 32117-5010

Phone

(386) 252-4900

Fax

(386) 252-4986

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Mellon

Title

Executive Director

Phone

(386) 252-4900

Specialties & licenses 1

Addresses

Other names 1

• EVAC Ambulance Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1235292129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CARSWELL AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321175010",
            "telephone_number": "386-252-4900",
            "fax_number": "386-252-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CARSWELL AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321175010",
            "telephone_number": "386-252-4900",
            "fax_number": "386-252-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "MELLON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-252-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVAC Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel E Drake, PAC
• Brandi Lee Driggers
• Durden Consulting Services of Florida
• Michael Scott Edwards
• Elderly Living Center of Holly Hill, Inc
• Lambert Harold Everson, CNA
• Faithful Caregivers,LLC
• Family Medical Practice Management, Inc.
• John Nicholas Fedorovich, R.PH.
• Christina Fendelander, RPH

• Land Ambulance in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.