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NPI Code Detail

MEDICARE: GREATER MEMPHIS EMS

MEDICARE: GREATER MEMPHIS EMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance10147TN

General Provider Information

NPI Number : 1184995946
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER MEMPHIS EMS
Provider Business Mailing Address
First Line : 6240 E. SHELBY DR.
Second Line :
City : MEMPHIS
State : TN
Zip : 38141-7735
Country : US
Telephone Number : 901-654-3179
Fax Number : 901-654-3263
Provider Business Practice Location Address
First Line : 6240 E SHELBY DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38141-7735
Country : US
Telephone Number : 901-654-3179
Fax Number : 901-654-3263
Authorized Official
Title or Position : PRESIDENT
Name : MR. DARRYL D SMITH
Credential : D.O.
Telephone Number : 901-654-3179
Provider Enumeration Date : 01/25/2012
Last Update Date : 01/25/2012

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Directions to “GREATER MEMPHIS EMS ” Practice Location

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