Provider Demographics
NPI:1699251884
Name:ENRICHING MEDICAL TRANSPORT
Entity type:Organization
Organization Name:ENRICHING MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V/P
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:JR
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:404-556-0017
Mailing Address - Street 1:2260 LITHONIA INDUSTRIAL BLVD.
Mailing Address - Street 2:STE N-B
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058
Mailing Address - Country:US
Mailing Address - Phone:404-556-0017
Mailing Address - Fax:770-482-0148
Practice Address - Street 1:2260 LITHONIA INDUSTRIAL BLVD.
Practice Address - Street 2:STE N-B
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058
Practice Address - Country:US
Practice Address - Phone:404-556-0017
Practice Address - Fax:770-482-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance