Provider Demographics
NPI:1194547786
Name:EMERGENT MEDICAL TRANSPORT INC
Entity type:Organization
Organization Name:EMERGENT MEDICAL TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBARDZUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-556-7461
Mailing Address - Street 1:805 E BROADWAY # F2
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4530
Mailing Address - Country:US
Mailing Address - Phone:424-464-4449
Mailing Address - Fax:
Practice Address - Street 1:805 E BROADWAY # F2
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4530
Practice Address - Country:US
Practice Address - Phone:424-464-4449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)