Provider Demographics
NPI:1871616540
Name:PAYNE EMERGENCY MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:PAYNE EMERGENCY MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-CRITICAL CARE
Authorized Official - Phone:646-584-3202
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-0911
Mailing Address - Country:US
Mailing Address - Phone:802-442-9800
Mailing Address - Fax:
Practice Address - Street 1:405 MORSE RD
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-1662
Practice Address - Country:US
Practice Address - Phone:802-447-0413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance