Basic Information
Provider Information
NPI: 1487792255
EntityType: 2
ReplacementNPI:  
OrganizationName: EMERGENCY MEDICAL BILLING LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1098
Address2:  
City: SALEM
State: UT
PostalCode: 846531098
CountryCode: US
TelephoneNumber: 8014233306
FaxNumber: 8014233309
Practice Location
Address1: 1000 E 100 N
Address2:  
City: PAYSON
State: UT
PostalCode: 846511600
CountryCode: US
TelephoneNumber: 8014233306
FaxNumber: 8014233309
Other Information
ProviderEnumerationDate: 02/02/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DINKINS
AuthorizedOfficialFirstName: JOSEPH
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 8014233306
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
146D00000X  Y193400000X SINGLE SPECIALTY GROUPEmergency Medical Service ProvidersPersonal Emergency Response Attendant 

No ID Information.


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