MEDICARE: UNIFIRST 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	1000045	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMB719	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1000045	OTHER	TX	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1821282856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIRST EMS INC

Provider Business Mailing Address
First Line	:	PO BOX 740505
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77274-0505
Country	:	US
Telephone Number	:	832-713-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 INDUSTRIAL BLVD STE F
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3170
Country	:	US
Telephone Number	:	832-923-5724
Fax Number	:	832-430-7447

Authorized Official
Title or Position	:	OWNER
Name	:	ROSE NABHAN
Credential	:
Telephone Number	:	832-713-2424

Provider Enumeration Date	:	09/03/2007
Last Update Date	:	02/20/2023

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