FANNIN COUNTY BOARD OF COMMISSIONERS NPI 1801912597

NPI Information

NPI: 1801912597
Provider Name: FANNIN COUNTY BOARD OF COMMISSIONERS

Doing Business As: FANNIN COUNTY FIRE/EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2196567

Address:
20 STATION RIDGE
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 632-4755
Get Directions

FANNIN COUNTY BOARD OF COMMISSIONERS is a land transport ambulance in Blue Ridge, GA. FANNIN COUNTY BOARD OF COMMISSIONERS NPI is 1801912597. The provider is registered as an organization entity type.
The provider Is Doing Business As Fannin County Fire/ems.

The provider's business location address is:

20 STATION RIDGE
BLUE RIDGE, GA
ZIP 30513-058
Phone: (706) 632-4755
Fax: (706) 632-3818

The provider's authorized official is Robert Graham .
The authorized official title is Ema Ems Director and has the following contact phone number (706) 632-1958.

The CLIA number assigned to this NPI record is 11D2196567 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/2/2020.

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	055-03	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	00237366A	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

NPI Synchronization or Removal

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