Active NPI
Emergency Mobile Health Care, LLC
- Ambulance
- Memphis, TN
National Provider Identifier
1689679193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- EMS0000009975
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3572241 | Medicaid | TN | |
| 03633306 | Medicaid | MS | |
| 138418715 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.