Organization Name: | ELITE MEDICAL SERVICES, INC. |
NPI Number: | 1992777312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM LEE DINTELMAN (PRESIDENT CEO) |
Mailing Address: | 356 S Archer St Eudora |
State: | AR US |
Postal Code: | 716402902 |
Phone Number: | 8703554390 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |