ELBERT COUNTY GEORGIA NPI 1477542983

NPI Information

NPI: 1477542983
Provider Name: ELBERT COUNTY GEORGIA

Other Name: ELBERT COUNTY GEORGIA

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2197432

Address:
112 MAHONEY DR
ELBERTON, GA
ZIP 30635
Phone: (706) 283-2003
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ELBERT COUNTY GEORGIA is a land transport ambulance in Elberton, GA. ELBERT COUNTY GEORGIA NPI is 1477542983. The provider is registered as an organization entity type.
The provider Other Name Is Elbert County Georgia.

The provider's business location address is:

112 MAHONEY DR
ELBERTON, GA
ZIP 30635-010
Phone: (706) 283-2003
Fax: (706) 283-2024

The provider's authorized official is Charles N Almond .
The authorized official title is Director Of Ems/911 and has the following contact phone number (706) 283-2003.

The CLIA number assigned to this NPI record is 11D2197432 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 8/4/2017.

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	052-01	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	59RCBFD	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GEORGIA MEDICARE PART B
2	000472029A	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: 5/5/2024

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