Provider Demographics
NPI:1386699619
Name:ALLIED EMS LLC
Entity type:Organization
Organization Name:ALLIED EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:JARNAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-585-0911
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:TALBOTT
Mailing Address - State:TN
Mailing Address - Zip Code:37877-0460
Mailing Address - Country:US
Mailing Address - Phone:423-585-0911
Mailing Address - Fax:423-586-8658
Practice Address - Street 1:7500 LEBANON CHURCH RD
Practice Address - Street 2:
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-8941
Practice Address - Country:US
Practice Address - Phone:423-585-0911
Practice Address - Fax:423-586-8658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNEMS00000099793416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN590015342OtherRAILROAD MEDICARE
TN100033051OtherPHP PROVIDER ID
TN3094703OtherBLUE CROSS BLUE SHIELD
TN3572269Medicare ID - Type UnspecifiedPROVIDER ID