EDM ENTERPRISES, LLC (NPI# 1912504119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912504119 |
| Entity Type | Organization |
| Organization Name | EDM ENTERPRISES, LLC |
| Practice Address |
524 N 7th St West Memphis AR 72301-3233 |
| Mailing Address |
605 Roosevelt Ave West Memphis AR 72301-2951 |
| Practice Telephone | 9013015650 |
| Mailing Telephone | 9013015650 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | MR. KENT HUDSON HALLUM II (CEO/DIRECTOR) |
| Authorized Official Telephone | 9013015650 |
| Authorized Official Credential | NREMTP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EDM ENTERPRISES, LLC | 2151 E Convention Center Way Ste 219, Ontario, CA 91764-5429 |
| Massachusetts Corporations | EDM ENTERPRISES, LLC | 26 Spruce St., Methuen, MA 01844 |
| Connecticut Business Registrations | EDM ENTERPRISES, LLC | 52 Fitchville Rd #2, Bozrah, CT 06334 |
| Street Address |
524 N 7TH ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809876 | Cems Paramedic Rescue Corporation | Ambulance | 524 N 7th St, West Memphis, AR 72301-3233 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1013016054 | Emt Medical Transfers, Inc | Ambulance | 510 E Jackson Ave, West Memphis, AR 72301-4336 | 2006-09-22 |
| 1861422560 | Crittenden Ems LLC | Ambulance | 205 S 2nd St, West Memphis, AR 72301-4307 | 2006-07-05 |
| 1942809876 | Cems Paramedic Rescue Corporation | Ambulance | 524 N 7th St, West Memphis, AR 72301-3233 | 2020-10-21 |
| 1174705859 | Lifeline Ems LLC | Ambulance | 510 E Jackson Ave, West Memphis, AR 72301-4336 | 2007-12-04 |
| 1457481053 | City of West Memphis | Ambulance | 200 N 7th St, West Memphis, AR 72301-3227 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710508262 | Milo Fire Department | Ambulance | 2166 Highway 189 N, Hamburg, AR 71646-8854 | 2020-05-06 |
| 1588215628 | Survival Flight Ems LLC | Ambulance | 2122 North Broadway, Heber Springs, AR 72543-5004 | 2019-09-20 |
| 1487139531 | Delta Ems | Ambulance | 26023 Highway 69 E, Trumann, AR 72472-9766 | 2018-09-25 |
| 1043747744 | Northwest Arkansas Paramed Transfer LLC | Ambulance | 925 Watson Ave, Springdale, AR 72764-5211 | 2017-05-12 |
| 1780119610 | Medical Transport Management, Inc | Ambulance | 109 W Peddicord St, Dermott, AR 71638-2115 | 2017-04-28 |
| 1588196208 | Beaver Lake Fire Dept | Ambulance | 8944 Grimes Dr, Rogers, AR 72756-7879 | 2017-03-31 |
| 1982064564 | Ar Life Transport | Ambulance | 614 Grandview St, Sherwood, AR 72120-3224 | 2016-02-25 |
| 1902271448 | City of Lowell | Ambulance | 216 N Lincoln St, Lowell, AR 72745-9048 | 2015-12-09 |
| 1538558697 | Pine Snag Lobo Fire Association | Ambulance | 1855 Pangburn Rd, Heber Springs, AR 72543 | 2015-01-13 |
| 1669810024 | City of Ozark | Ambulance | 812 W School St, Ozark, AR 72949-2634 | 2013-06-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on EDM ENTERPRISES, LLC.
| 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.