| Name: | Extended Emergency Medical Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 10 Aug 1994 (30 years ago) (Companies founded in August 1994) |
| Entity Number: | 000-165-992 |
| Register Number: | 000165992 |
| ZIP code: | 35592 (Companies in Lamar, 35592) |
| County: | Lamar |
| Place of Formation: | Mobile County |
| Principal Address: | VERNON, AL |
| Registered Office Street Address: | 150 EMERGYSTAT LOOPVERNON, AL 35592 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $500 |
Activities
ENGAGE IN THE MEDICAL/AMBULANCE & EMERGENCY TRANSPORT SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154389971 | 2006-05-02 | 2020-08-22 | PO BOX 1497, VERNON, AL, 355921497, US | 779 LAKESIDE DR, MOBILE, AL, 366935113, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-695-9800 |
| Fax | 2056957677 |
| Phone | +1 251-660-0061 |
| Fax | 2516628205 |
Authorized person
| Name | LARRY LUNAN |
| Role | CEO |
| Phone | 2056959800 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 764 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS PROV # |
| Number | 51050095 |
| State | AL |
| Name | Role |
|---|---|
| BELL, DUDLEY | Agent |
| Name | Role |
|---|---|
| HOWE, WILLIS H | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
