Emergency Med Stat LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

251041 Issued in MI

Legal business name

EMERGENCY MED STAT LLC

Practice address

G3538 Flushing Rd
Suite C
Flint, MI 48504-4255

Phone

(810) 230-1208

Fax

(810) 230-1213

NPI assigned

Oct 31, 2005

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

Justin Burse

Title

Operations MGR

Phone

(810) 230-1208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407847346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484230497",
            "telephone_number": "810-230-1208",
            "fax_number": "810-230-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3538 FLUSHING RD",
            "address_2": "SUITE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044255",
            "telephone_number": "810-230-1208",
            "fax_number": "810-230-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MED STAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURSE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "810-230-1208"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "251041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4726255",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nashwa M Elzeiny, DPT
• Teresa Embach, LPC
• Jessica A Emberton
• Teairre Embery
• Embrace Counseling Services LLC
• Emergency Medical Centre of Flint
• Emergency Medical Centre of Flint, Inc.
• Linda Ann Emerson, LMSW
• Emily Kinsman LLC
• Eminent Homecare Solutions LLC

• Land Ambulance in Flint, MI
• Providers in Flint, MI by specialty
• Land Ambulance in Michigan

• 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.