Healthcare Provider Details

I. General information

NPI: 1932846839
Provider Name (Legal Business Name): EMS MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7090 COVENANT WOODS DR
MECHANICSVILLE VA
23111-7025
US

IV. Provider business mailing address

1000 GRAVEL PIKE
SCHWENKSVILLE PA
19473-2364
US

V. Phone/Fax

Practice location:
  • Phone: 484-873-3045
  • Fax: 484-806-0605
Mailing address:
  • Phone: 484-873-3045
  • Fax: 484-806-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS RHONDA FAMOUS
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 484-680-8445