EXTENDED EMERGENCY MEDICAL SERVICES


Address: 779 Lakeside Dr, Mobile, AL 36693-5113
Phone: 2516600061

EXTENDED EMERGENCY MEDICAL SERVICES (NPI# 1154389971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154389971
Entity Type Organization
Organization Name EXTENDED EMERGENCY MEDICAL SERVICES
Practice Address 779 Lakeside Dr
Mobile
AL 36693-5113
Mailing Address Po Box 1497
Vernon
AL 35592-1497
Practice Telephone 2516600061
Practice Fax Number 2516628205
Mailing Telephone 2056959800
Mailing Fax Number 2056957677
Enumeration Date 2006-05-02
Last Update Date 2020-08-22
Authorized Official Name LARRY LUNAN (CEO)
Authorized Official Telephone 2056959800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
764 AL Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS PROV # 51050095 01

Office Location

Street Address 779 LAKESIDE DR
City MOBILE
State AL
Zip Code 36693-5113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265628887 Hospice Complete, Inc Hospice Care, Community Based 826 Lakeside Drive, Mobile, AL 36693 2007-09-18
1982823548 Eric Carey Dekle Physical Therapist 1220 Azalea Road, Mobile, AL 36693 2007-04-24
1528189198 Roy Edward Kadel Chiropractor 3504 Shadow Wood Court, Mobile, AL 36693 2007-04-02
1578606174 John P Kline Psychologist 5406 Spring Dr, Mobile, AL 36693 2007-02-14
1083751374 Adeel Rabbani Psychiatry & Neurology 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 2007-01-30
1669541595 Alison Rester Akridge Dentist 3977 Burma Rd, Mobile, AL 36693 2006-11-07
1376612200 Skyline Family Dental Care PC Dentist 3977 Burma Road, Mobile, AL 36693 2006-11-07
1740373240 Russell H. Porter Physical Therapist 2496 Muir Woods Dr West, Mobile, AL 36693 2006-10-02
1356390702 Mobility Medical of North Durable Medical Equipment & Medical Supplies 3954 Demetropolis Rd, Mobile, AL 36693 2006-05-10
1043441041 Renee' Huff Social Worker 5750a Southland Dr, Mobile, AL 36693 2009-08-07
Find all providers in zip 36693

Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437152212 Newmans Medical Services Inc. Ambulance 3500 Cottage Hill Rd, Mobile, AL 36609-6589 2005-05-24
1992356364 Usa Health Physician Billing Services LLC Ambulance 1700 Center St, Mobile, AL 36604-3301 2019-09-26
1396225090 University of South Alabama Ambulance 1700 Center St, Mobile, AL 36604-3301 2018-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972146157 City of Troy Ambulance 200 S Geo Wallace Dr, Troy, AL 36081-4606 2019-10-21
1265080741 South Dale Ems Inc Ambulance 400 Headquarters St, Dothan, AL 36303-7020 2019-08-28
1427613801 Lifeguard Ambulance Service LLC Ambulance 950 22nd St N Ste 800, Birmingham, AL 35203-5307 2019-05-01
1811450331 City of Orange Beach Ambulance 25853 John Snook Drive, Orange Beach, AL 36561 2019-04-11
1235693078 City of Demopolis Dba Demopolis Fire & Rescue Ambulance 306 Us Highway 80 W, Demopolis, AL 36732-4106 2019-01-25
1831661867 Green Pond Volunteer Fire Dept Inc Ambulance 19629 Eastern Valley Rd, Woodstock, AL 35188-3464 2019-01-02
1407327984 Dale Ems and Rescue Squad Ambulance 209 Oates Dr, Newton, AL 36352-4314 2018-12-10
1619455516 East Alabama Water, Sewer, & Fire Protection District Ambulance 150 Fob James Drive, Valley, AL 36854 2018-08-02
1386137545 Littleville Volunteer Fire Department Ambulance 1745 Bailey Ln, Russellville, AL 35654-3201 2018-06-12
1750898946 Smiths Station Fire and Rescue Ambulance 50 Lee Road 430, Smiths Station, AL 36877-2600 2018-01-09
Find all providers with the same taxonomy

Competitor

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City MOBILE
Zip Code 36693

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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