Provider Demographics
NPI:1447340575
Name:PARATECH EMS, INC.
Entity type:Organization
Organization Name:PARATECH EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEWAYNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-776-6996
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:111 EAST CHURCH STREET
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-0001
Mailing Address - Country:US
Mailing Address - Phone:601-776-6996
Mailing Address - Fax:601-776-3320
Practice Address - Street 1:111 EAST CHURCH ST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-0001
Practice Address - Country:US
Practice Address - Phone:601-776-6996
Practice Address - Fax:601-776-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS033341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00550017Medicaid