MERCY AMBULANCE SERVICE INC. NPI 1538211081

NPI Information

NPI: 1538211081
Provider Name: MERCY AMBULANCE SERVICE INC.

Doing Business As: SOUTHSIDE EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1399 DEAN FOREST ROAD
SAVANNAH, GA
ZIP 31405
Phone: (912) 354-1011
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MERCY AMBULANCE SERVICE INC. is a land transport ambulance in Savannah, GA. MERCY AMBULANCE SERVICE INC. NPI is 1538211081. The provider is registered as an organization entity type.
The provider Is Doing Business As Southside Ems.

The provider's business location address is:

1399 DEAN FOREST ROAD
SAVANNAH, GA
ZIP 31405-307
Phone: (912) 354-1011
Fax: (912) 354-1294

The provider's authorized official is Conrad Kearns .
The authorized official title is Ceo and has the following contact phone number (912) 354-1011.

The CLIA number assigned to this NPI record is 11D2112448 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 10/26/2020.

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	025-10	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000301265A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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