TALBOT COUNTY COMMISSIONER OF ROADS & REVENUES NPI 1578652590

NPI Information

NPI: 1578652590
Provider Name: TALBOT COUNTY COMMISSIONER OF ROADS & REVENUES

Doing Business As: TALBOT COUNTY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2198211

Address:
1853 GENEVA HWY
TALBOTTON, GA
ZIP 31827
Phone: (706) 665-3456
Get Directions

TALBOT COUNTY COMMISSIONER OF ROADS & REVENUES is a land transport ambulance in Talbotton, GA. TALBOT COUNTY COMMISSIONER OF ROADS & REVENUES NPI is 1578652590. The provider is registered as an organization entity type.
The provider Is Doing Business As Talbot County Ems.

The provider's business location address is:

1853 GENEVA HWY
TALBOTTON, GA
ZIP 31827-542
Phone: (706) 665-3456

The provider's authorized official is Betty Wimberly .
The authorized official title is Office Manager and has the following contact phone number (706) 665-3220.

The CLIA number assigned to this NPI record is 11D2198211 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 6/21/2013.

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	130-04	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	000379211A	MEDICAID	GEORGIA
2	85053059AA	MEDICARE UPIN	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

NPI Synchronization or Removal

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