MEDICARE: UNIFIED EMS INC

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

General Provider Information

NPI Number	:	1417273640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED EMS INC

Provider Business Mailing Address
First Line	:	4750 MONTCLAIR HILL LN
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-2046
Country	:	US
Telephone Number	:	281-972-9568
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 MONTCLAIR HILL LN
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-2046
Country	:	US
Telephone Number	:	281-972-9568
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEIF SMITH
Credential	:
Telephone Number	:	281-972-9568

Provider Enumeration Date	:	04/13/2010
Last Update Date	:	04/13/2010

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Directions to “UNIFIED EMS INC ” Practice Location

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