GRADY MEMORIAL HOSPITAL CORPORATION NPI 1891966578

NPI Information

NPI: 1891966578
Provider Name: GRADY MEMORIAL HOSPITAL CORPORATION

Doing Business As: GRADY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
80 JESSE HILL JR DRIVE SE
BOX 26042
ATLANTA, GA
ZIP 30303
Phone: (404) 616-8880
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GRADY MEMORIAL HOSPITAL CORPORATION is a land transport ambulance in Atlanta, GA. GRADY MEMORIAL HOSPITAL CORPORATION NPI is 1891966578. The provider is registered as an organization entity type.
The provider Is Doing Business As Grady Ems.

The provider's business location address is:

80 JESSE HILL JR DRIVE SE
BOX 26042
ATLANTA, GA
ZIP 30303-050
Phone: (404) 616-8880

The provider's authorized official is Ozzie Gilbert .
The authorized official title is VP FINANCEFinance and has the following contact phone number (404) 616-1796.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 5/18/2011.

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	060-30	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	000000855B	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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