CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE NPI 1124137211

NPI Information

NPI: 1124137211
Provider Name: CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D1078165

Address:
200 STOCKADE RD
SUMMERVILLE, GA
ZIP 30747
Phone: (706) 857-0734
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CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE is a land transport ambulance in Summerville, GA. CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE NPI is 1124137211. The provider is registered as an organization entity type.

The provider's business location address is:

200 STOCKADE RD
SUMMERVILLE, GA
ZIP 30747-947
Phone: (706) 857-0734
Fax: (706) 857-0731

The provider's authorized official is Herbert Alton Dodd .
The authorized official title is Director and has the following contact phone number (706) 857-0734.

The CLIA number assigned to this NPI record is 11D1078165 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	027-04	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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