Organization Active NPI

Emergency Mobile Health Care, LLC

  • Ambulance
  • Memphis, TN
National Provider Identifier
1689679193
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS0000009975 Issued in TN
Legal business name
EMERGENCY MOBILE HEALTH CARE, LLC
Practice address
6972 Appling Farms Pkwy
Suite 110
Memphis, TN 38133-4725
Phone
(901) 818-0911
Fax
(901) 377-1599
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Elbert O'Neal Ellis, PARAMEDIC
Title
EMS Director
Phone
(901) 271-5024

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS0000009975 TN Primary
Ambulance 341600000X 315 MS
Air Ambulance 3416A0800X 10175 TN

Addresses

Primary practice location

6972 Appling Farms Pkwy
Suite 110
Memphis, TN 38133-4725

Mailing address

PO Box 382550
Germantown, TN 38183-2550
Phone (901) 818-0911

Other identifiers 3

IdentifierTypeStateIssuer
3572241MedicaidTN
03633306MedicaidMS
138418715MedicaidAR

National Provider Directory

National Provider Directory

Locations

5071 Wilfong Rd
Memphis, TN 38134
Phone (901) 818-0911

6972 Appling Farms Pkwy
Ste 110
Memphis, TN 38133
Phone (901) 818-0911

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1689679193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382550",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832550",
            "telephone_number": "901-818-0911",
            "fax_number": "901-377-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6972 APPLING FARMS PKWY",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334725",
            "telephone_number": "901-818-0911",
            "fax_number": "901-377-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MOBILE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ELBERT",
        "authorized_official_middle_name": "O'NEAL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "901-271-5024",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "EMS0000009975",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MS",
            "license": "315",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TN",
            "license": "10175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3572241",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03633306",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138418715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.