SOUTH GA AMBULANCE LLC (NPI# 1487254660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487254660 |
Entity Type | Organization |
Organization Name | SOUTH GA AMBULANCE LLC |
Practice Address |
855 W Golden Isles Hwy Mc Rae Helena GA 31037-3914 |
Practice Telephone | 2293158292 |
Mailing Telephone | 2293158292 |
Enumeration Date | 2020-10-28 |
Last Update Date | 2020-10-28 |
Authorized Official Name | MRS. REBECCA YAWN (CEO) |
Authorized Official Telephone | 2293158292 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
Street Address |
855 W GOLDEN ISLES HWY |
City | MC RAE HELENA |
State | GA |
Zip Code | 31037-3914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952474751 | Helena Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 503 8th Street, Helena, GA 31037 | 2006-11-17 |
1457365975 | Pineleaf Investments, Inc. | Skilled Nursing Facility | 503 Eighth Street, Helena, GA 31037 | 2006-07-28 |
1952780389 | Beverley Murray | Clinical Nurse Specialist | 210 Long Bridge Rd, Helena, GA 31037-2804 | 2015-05-19 |
1093063794 | Harrelson Speech and Language Therapy Services, LLC | Speech-Language Pathologist | 49 S Eastman Ave, Helena, GA 31037-3842 | 2012-08-28 |
1659303683 | Freds Stores of Tennessee Inc | Pharmacy | 124 8th St, Helena, GA 31037-9738 | 2006-07-07 |
1518020981 | Hollie Harrelson | Speech-Language Pathologist | 500 Eastman Ave, Helena, GA 31037-9774 | 2006-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033342506 | Valarie Irene Webb | Nurse Practitioner | 144 E Oak St, Mc Rae Helena, GA 31055-4338 | 2009-08-31 |
1821657891 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 120 W Oak St, Mc Rae Helena, GA 31055-4335 | 2019-06-12 |
1548788383 | Jina Cravey Adams | Nurse Practitioner | 89 Telfair Ave, Mc Rae Helena, GA 31055-4818 | 2017-08-31 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1942812714 | Sagrada Ambulance LLC | Ambulance | 300 W I Pkwy # 203, Dallas, GA 30132-5079 | 2020-08-21 |
1689286866 | Med-trak LLC | Ambulance | 2395 Wall St Se Ste 195, Conyers, GA 30013-6703 | 2020-08-19 |
1952929523 | Hope Medical Transport Services | Ambulance | 101 Park 42 Dr Ste F, Locust Grove, GA 30248-2559 | 2020-07-10 |
1750908372 | 1st Class Ambulance | Ambulance | 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 | 2020-06-30 |
1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
1043831241 | Health Investment Group Inc | Ambulance | 1331 Wynnton Ct, Columbus, GA 31906-2140 | 2020-04-29 |
1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
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City | MC RAE HELENA |
Zip Code | 31037 |
Please comment or provide details below to improve the information on SOUTH GA AMBULANCE LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.