| Organization Name: | EAGLE MEDICAL SERVICES, INC |
| NPI Number: | 1013990498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD WELLS (PRESIDENT) |
| Mailing Address: | 20 Parish Dr Wayne |
| State: | NJ US |
| Postal Code: | 074706007 |
| Phone Number: | 9736944400 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | EAGMED029 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |