Emerson Ambulance Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

643 Issued in AR

Legal business name

EMERSON AMBULANCE SERVICE, INC

Practice address

1703 E Nettleton Ave
Jonesboro, AR 72401-5165

Phone

(870) 935-0380

Fax

(870) 268-8466

NPI assigned

Feb 3, 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

Mr. Toby L Emerson

Title

President

Phone

(870) 935-0380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336111335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E NETTLETON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015165",
            "telephone_number": "870-935-0380",
            "fax_number": "870-268-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E NETTLETON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015165",
            "telephone_number": "870-935-0380",
            "fax_number": "870-268-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-935-0380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Wayne Ellison, MHPP
• Winona Elrod, LCSW
• Caleb B Elsperman
• Patricia D Elsperman, CNM
• Imevbore Elugbe
• Steven L Emerson, M.D.
• Casey Marie Emery, LMSW
• David Jake Emery
• Kaley Emery
• Rebekah Emery, OTD

• Land Ambulance in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Land Ambulance in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.