Evergreen Medical Transport Services Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

102791 Issued in NJ

Legal business name

EVERGREEN MEDICAL TRANSPORT SERVICES INC.

Practice address

333 Elizabeth St
Orange, NJ 07050-2810

Phone

(973) 380-5050

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Miss Samia Register

Title

Chief Accounts Officer

Phone

97338050508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1841732948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ELIZABETH ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502810",
            "telephone_number": "973-380-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ELIZABETH ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502810",
            "telephone_number": "973-380-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MEDICAL TRANSPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "REGISTER",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "CHIEF ACCOUNTS OFFICER",
        "authorized_official_telephone_number": "97338050508",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "102791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Orange, NJ
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• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.