Provider Demographics
NPI:1982405734
Name:EMSAM TRANSPORTATION LLC
Entity type:Organization
Organization Name:EMSAM TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYENI-COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-851-8090
Mailing Address - Street 1:403 STANDISH CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-2913
Mailing Address - Country:US
Mailing Address - Phone:708-851-8090
Mailing Address - Fax:
Practice Address - Street 1:403 STANDISH CT
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2913
Practice Address - Country:US
Practice Address - Phone:708-851-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)