JACKSON EMERGENCY TRANSPORT SERVICE, LLC (NPI# 1831206713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831206713 |
| Entity Type | Organization |
| Organization Name | JACKSON EMERGENCY TRANSPORT SERVICE, LLC |
| Practice Address |
210 S Kimball Ave Jackson AL 36545-2726 |
| Practice Telephone | 2512465718 |
| Practice Fax Number | 2512465068 |
| Mailing Telephone | 2512465718 |
| Mailing Fax Number | 2512465068 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. KEVIN BRUNSON (MANAGER) |
| Authorized Official Telephone | 2512465718 |
| Authorized Official Credential | EMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
552 | AL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51050479 | 01 |
| AL | 200013112 | 05 |
| Street Address |
210 S KIMBALL AVE |
| City | JACKSON |
| State | AL |
| Zip Code | 36545-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1871094300 | Kristin Ford Anderson | Physical Therapist | 1711 College Ave, Jackson, AL 36545 | 2018-02-21 |
| 1447567250 | Jamal Randall | Physical Therapist | 1711 College Avenue, Jackson, AL 36545-0037 | 2010-09-01 |
| 1538186846 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-07-16 |
| 1902987399 | Wal-mart Stores East, Lp | Technician/Technologist | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-10-18 |
| 1285671792 | Aseracare Hospice - Jackson, LLC | Hospice Care, Community Based | 4115 N College Ave, Jackson, AL 36545-2022 | 2006-06-01 |
| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1245342070 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 215 Walker Springs Rd, Jackson, AL 36545-2136 | 2006-08-31 |
| 1851917504 | Medevac Alabama Inc | Ambulance | 3738 N College Ave, Jackson, AL 36545-2225 | 2020-06-18 |
| 1497739007 | Brian Keith Graham | Chiropractor | 1120 College Ave, Jackson, AL 36545-2405 | 2005-12-06 |
| Find all providers in zip 36545 | ||||
| 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 |
|---|---|---|---|---|
| 1104481092 | Breathitt-wolfe Ems Inc | Ambulance | 3 Howell Ln, Jackson, KY 41339-8657 | 2019-05-06 |
| 1730564436 | Jackson Township First Aid Squad Inc | Ambulance | 38 E Veterans Hwy, Jackson, NJ 08527-4519 | 2015-07-23 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1437418506 | Arrow-med Ambulance, Inc. | Ambulance | 68 Shacks Ln, Jackson, KY 41339-7603 | 2012-05-10 |
| 1457627986 | Six Flags Great Adventure LLC | Ambulance | 1 Six Flags Blvd, Jackson, NJ 08527-5369 | 2012-03-29 |
| 1851601132 | County of Jackson | Ambulance | 260 Pattonsville Rd, Jackson, OH 45640-9452 | 2010-10-20 |
| 1760635700 | Life Star Healthcare LLC | Ambulance | 111 Glendale St, Jackson, TN 38301-5101 | 2008-11-03 |
| 1003947953 | County of Teton | Ambulance | 40 E Pearl Ave, Jackson, WY 83001 | 2007-03-09 |
| 1770686610 | Village of Jackson | Ambulance | W204n16722 Jackson Dr, Jackson, WI 53037-9796 | 2006-09-06 |
| 1164786257 | Jackson-madison County General Hospital | Ambulance | 620 Skyline Dr, Jackson, TN 38301-3923 | 2012-07-03 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on JACKSON EMERGENCY TRANSPORT SERVICE, 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.