Eagle Medical Service EMS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7920 Issued in TN

Legal business name

EAGLE MEDICAL SERVICE EMS LLC

Doing business as

EMS

Practice address

1710 Barcrest Dr
Memphis, TN 38134-6404

Phone

(901) 377-7000

Fax

(901) 382-9125

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Allen D Wilkerson, PARAMEDIC

Title

Director

Phone

(901) 386-4552

Specialties & licenses 1

Addresses

Other names 1

• EMS Doing business as

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1609087055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BARCREST DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346404",
            "telephone_number": "901-377-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BARCREST DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346404",
            "telephone_number": "901-377-7000",
            "fax_number": "901-382-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL SERVICE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-386-4552",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Memphis, TN
• Providers in Memphis, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.