CLARK EMS AMBULANCE SERVICE NPI 1952498776

NPI Information

  • NPI: 1952498776
  • Provider Name: CLARK EMS AMBULANCE SERVICE
  • Classification: Emergency Medical Technician, Paramedic - 146L00000X
  • Entity Type: Organization
  • Doing Business As: CLARK AMBULANCE SERVICE
  • Address: 117A COMMERCE DR
    DALLAS, GA
    ZIP 30132
  • Phone: (770) 445-2151

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NPI Details

CLARK EMS AMBULANCE SERVICE is an emergency medical technician paramedic in Dallas, GA. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. CLARK EMS AMBULANCE SERVICE NPI is 1952498776. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clark Ambulance Service.

The provider's business location address is:

117A COMMERCE DR
DALLAS, GA
ZIP 30132
Phone: (770) 445-2151
Fax: (770) 943-2855

The provider's authorized official is Samuel T Clark .
The authorized official title is President and has the following contact phone number (770) 445-5008.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 2/1/2013.

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
1146M00000XEmergency Medical Technician, Intermediate11006GEORGIANo
2146N00000XEmergency Medical Technician, Basic11006GEORGIANo
3146L00000XEmergency Medical Technician, Paramedic11006GEORGIAYes

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 UNSPECIFIEDGEORGIA
200311165AMEDICAIDGEORGIA
3590014898OTHERGEORGIARAILROAD MEDICARE

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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