HALIFAX EMS LLC NPI 1396336517

NPI Information

HALIFAX EMS LLC is a land transport ambulance in Bogart, GA. HALIFAX EMS LLC NPI is 1396336517. The provider is registered as an organization entity type.

The provider's business location address is:

220 BEN BURTON CIR STE A
BOGART, GA
ZIP 30622-851
Phone: (770) 545-7222
Fax: (706) 243-4760

The provider's authorized official is Jacob Longstreth .
The authorized official title is Member and has the following contact phone number (828) 275-7284.

The CLIA number assigned to this NPI record is 11D2260951 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2021 and was last updated on 3/6/2023.

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:

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