Emergency Medical Service Of Randolph County Ga

LBN: Emergency Medical Service Of Randolph County Ga
Emergency Medical Service Of Randolph County Ga is an health care organization with primary practice located at 34 Taylor Street , Cuthbert GA 39840-1338. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Emergency Medical Service Of Randolph County Ga can be contacted via phone (229) 732-6632, or through Jackson, Ellette via phone (229) 732-6632.

Contact Information

Primary practice address
34 Taylor Street Cuthbert GA 39840-1338
Fax: (229) 732-2139
Website:
Authorized official contact:
Name: Jackson, Ellette PARAMEDIC

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 12001 Georgia

Profile Details

NPI number 1124079389
LBN Legal business name Emergency Medical Service Of Randolph County Ga
DBA Doing business as
Authorized official Jackson, Ellette PARAMEDIC
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2006
Last updated Nov 29th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124079389 NPPES
Georgia MEDICAID 000002593A

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