FIRSTCARE AMBULANCE SERVICE, LLC (NPI# 1417487786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417487786 |
| Entity Type | Organization |
| Organization Name | FIRSTCARE AMBULANCE SERVICE, LLC |
| Practice Address |
5155 Wilfong Rd Memphis TN 38134-5611 |
| Mailing Address |
3180 Millington Road Memphis TN 38127 |
| Practice Telephone | 9018332830 |
| Practice Fax Number | 9017957025 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | MR. GORDON WYNN (CEO) |
| Authorized Official Telephone | 9018332830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
10218 | TN | Transportation Services |
| Street Address |
5155 WILFONG RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
| 1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
| 1174916308 | Forseniorhelp LLC | Ambulance | 6699 Fletcher Creek Cv Ste 101-b, Memphis, TN 38133-7055 | 2015-03-12 |
| 1568852192 | Claybrothers Transportation Services | Ambulance | 1950 Glenover Dr, Memphis, TN 38134-6206 | 2015-02-04 |
| 1578812244 | Medicone Medical Response Delta Region Inc | Ambulance | 5275 Raleigh Lagrange Rd, Memphis, TN 38134-5605 | 2012-09-10 |
| 1104190024 | Healthcare Transport, LLC | Ambulance | 3002 Austin Peay Hwy, Memphis, TN 38128-5602 | 2012-02-24 |
| 1902039589 | First Call Ambulance Service of West Tennessee, LLC | Ambulance | 5603 Federal Ave, Memphis, TN 38118-7918 | 2009-08-28 |
| 1235317843 | Abundant Care Ambulance Service, Inc. | Ambulance | 3590 Winchest Cv, Memphis, TN 38115-8113 | 2008-02-06 |
| 1215086731 | Charlie Andrew Tacito | Ambulance | 1684 Poplar Ave, Memphis, TN 38104 | 2007-01-10 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| Find all providers in MEMPHIS | ||||
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| 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.