Healthcare Provider Details

I. General information

NPI: 1487687109
Provider Name (Legal Business Name): EMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BELL STREET
ELKINS WV
26241
US

IV. Provider business mailing address

100 BELL STREET
ELKINS WV
26241
US

V. Phone/Fax

Practice location:
  • Phone: 304-637-8000
  • Fax:
Mailing address:
  • Phone: 304-637-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number195
License Number StateWV

VIII. Authorized Official

Name: MS. CAROLYN J. PINGLEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 304-637-8000