Organization Active NPI

Paratech EMS, Inc.

  • Ambulance
  • Quitman, MS
National Provider Identifier
1447340575
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
033 Issued in MS
Legal business name
PARATECH EMS, INC.
Practice address
111 East Church St
Quitman, MS 39355-0001
Phone
(601) 776-6996
Fax
(601) 776-3320
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mr. Dewayne M Crane
Title
President
Phone
(601) 776-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 033 MS Primary

Addresses

Primary practice location

111 East Church St
Quitman, MS 39355-0001

Mailing address

PO Box 1
111 East Church Street
Quitman, MS 39355-0001
Phone (601) 776-6996

Other identifiers 1

IdentifierTypeStateIssuer
00550017MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000875 MS Part B Supplier - Ambulance Service Supplier 6507025459 Practice locations: Quitman, MS

National Provider Directory

National Provider Directory

Locations

111 E Church St
Quitman, MS 39355
Phone (601) 776-6996

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1447340575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "address_2": "111 EAST CHURCH STREET",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393550001",
            "telephone_number": "601-776-6996",
            "fax_number": "601-776-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST CHURCH ST",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393550001",
            "telephone_number": "601-776-6996",
            "fax_number": "601-776-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARATECH EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-776-6996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00550017",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.