CLARK AMBULANCE SERVICE INC. NPI 1760462451

NPI Information

  • NPI: 1760462451
  • Provider Name: CLARK AMBULANCE SERVICE, INC.
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Address: 117A COMMERCE DR
    DALLAS, GA
    ZIP 30132
  • Phone: (770) 445-2151

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NPI Details

CLARK AMBULANCE SERVICE, INC. is an ambulance in Dallas, GA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CLARK AMBULANCE SERVICE, INC. NPI is 1760462451. The provider is registered as an organization entity type.

The provider's business location address is:

117A COMMERCE DR
DALLAS, GA
ZIP 30132-025
Phone: (770) 445-2151
Fax: (770) 505-7273

The provider's authorized official is Samuel Thomas Clark .
The authorized official title is Ceo/owner and has the following contact phone number (770) 445-5008.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 4/17/2008.

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
1341600000XAmbulance110-06GEORGIAYes

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
185053759AAMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE
200311165AMEDICAIDGEORGIA

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: 11/21/2025

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