Healthcare Provider Details

I. General information

NPI: 1104872142
Provider Name (Legal Business Name): EMERGENCY MEDICAL TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 WHIPPLE AVE NW STE A
NORTH CANTON OH
44720-7167
US

IV. Provider business mailing address

7100 WHIPPLE AVE NW STE A
NORTH CANTON OH
44720-7167
US

V. Phone/Fax

Practice location:
  • Phone: 330-478-4111
  • Fax: 330-232-9917
Mailing address:
  • Phone: 330-484-8894
  • Fax: 330-484-2932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number021103550
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH J JOSEPH
Title or Position: CHIEF PARAMEDIC
Credential: EMT-P
Phone: 330-484-8894