Provider Demographics
NPI:1548442023
Name:EMERGENCY SERVICE SOLUTIONS LLC
Entity type:Organization
Organization Name:EMERGENCY SERVICE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-479-2303
Mailing Address - Street 1:5439 REINHARDT COLLEGE PKWY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:WALESKA
Mailing Address - State:GA
Mailing Address - Zip Code:30183-3648
Mailing Address - Country:US
Mailing Address - Phone:770-479-2303
Mailing Address - Fax:770-479-2308
Practice Address - Street 1:5439 REINHARDT COLLEGE PKWY
Practice Address - Street 2:SUITE 180
Practice Address - City:WALESKA
Practice Address - State:GA
Practice Address - Zip Code:30183-3648
Practice Address - Country:US
Practice Address - Phone:770-479-2303
Practice Address - Fax:770-479-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)