Medline EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000652 Issued in TX

Legal business name

MEDLINE EMS LLC

Doing business as

MEDLINE EMS

Practice address

4542 Long Creek Dr
Fresno, TX 77545-6064

Phone

(281) 972-2038

Fax

(281) 781-2555

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Nduka K Ukah

Title

Owner

Phone

(281) 972-2038

Specialties & licenses 1

Addresses

Other names 1

• MEDLINE EMS Doing business as

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1730476482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6",
            "address_2": "SUITE 230-240",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "281-972-2038",
            "fax_number": "281-781-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 LONG CREEK DR",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775456064",
            "telephone_number": "281-972-2038",
            "fax_number": "281-781-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "UKAH",
        "authorized_official_first_name": "NDUKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-972-2038"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDLINE EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nneka Mbachu, PTA
• Hannah Maria McGowan, RN
• Shana Delise McGowan, MS,RDN, LD
• McKenzie Enterprise LLC
• Cheryl E McNalley, WHCNP
• Medline Health Services
• Izela Mellado
• Annette Melvin
• Alvin Mena Cantero
• Terrance Menard, FNP

• Land Ambulance in Fresno, TX
• Providers in Fresno, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.