MEDICARE: CENTRAL EMERGENCY MEDICAL SERVICES LLC

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
1	3416L0300X	Land Ambulance	060-68	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821028945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL EMERGENCY MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 661017
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75266-1017
Country	:	US
Telephone Number	:	844-597-4911
Fax Number	:	866-687-2796

Provider Business Practice Location Address
First Line	:	205 HEMBREE PARK DR
Second Line	:	SUITE 100
City	:	ROSWELL
State	:	GA
Zip	:	30076-5733
Country	:	US
Telephone Number	:	844-597-4911
Fax Number	:	678-324-4328

Authorized Official
Title or Position	:	CHIEF REVENUE INTEGRATION OFFICER
Name	:	MR. ROBERT JEWELL
Credential	:
Telephone Number	:	844-597-4911

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	11/14/2023

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