Provider Demographics
NPI:1699483537
Name:STORY EMERGENT AMBULATORY TRANSPORTATION LLC
Entity type:Organization
Organization Name:STORY EMERGENT AMBULATORY TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:423-943-5273
Mailing Address - Street 1:1806 W LAKEVIEW DR # 24
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2112
Mailing Address - Country:US
Mailing Address - Phone:423-943-5273
Mailing Address - Fax:
Practice Address - Street 1:1806 W LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2112
Practice Address - Country:US
Practice Address - Phone:423-943-5273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)