# ALLIANCE EMS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE NATIONAL BLACK HEALTHCARE PROFESSIONALS ALLIANCE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912872995
- **Legal business name:** THE NATIONAL BLACK HEALTHCARE PROFESSIONALS ALLIANCE
- **Authorized official:** DR. JEREMY MULDROW, MULDROW PH.D., EMT-B, CPRI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (980) 833-4531

## Contact information

- **Practice address:** 190 SASSAFRAS RD, MOORESVILLE, NC 28115-0019
- **Practice address phone:** (980) 833-4531
- **Mailing address:** 190 SASSAFRAS RD, MOORESVILLE, NC 28115-0019
- **Mailing address phone:** (980) 833-4531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 10/08/2025
- **Last updated:** 10/08/2025