Healthcare Provider Details

I. General information

NPI: 1851974208
Provider Name (Legal Business Name): INTEGRITY EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 05/21/2021
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 W DUE WEST AVE STE 107
MADISON TN
37115-4420
US

IV. Provider business mailing address

607 W DUE WEST AVE STE 107
MADISON TN
37115-4420
US

V. Phone/Fax

Practice location:
  • Phone: 615-249-4367
  • Fax: 615-392-3420
Mailing address:
  • Phone: 615-249-4367
  • Fax: 615-392-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM KELLEHER
Title or Position: OWNER/CEO
Credential:
Phone: 615-249-4367