ESSENTIAL TRANSPORT PROVIDERS LLC NPI 1538805940

NPI Information

NPI: 1538805940
Provider Name: ESSENTIAL TRANSPORT PROVIDERS LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2272081

Address:
2245 GODBY RD STE 130
COLLEGE PARK, GA
ZIP 30349
Phone: (779) 925-5339
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ESSENTIAL TRANSPORT PROVIDERS LLC is a land transport ambulance in College Park, GA. ESSENTIAL TRANSPORT PROVIDERS LLC NPI is 1538805940. The provider is registered as an organization entity type.

The provider's business location address is:

2245 GODBY RD STE 130
COLLEGE PARK, GA
ZIP 30349-059
Phone: (779) 925-5339
Fax: (866) 798-8989

The provider's authorized official is Larry Kelly .
The authorized official title is Cfo and has the following contact phone number (904) 504-5529.

The CLIA number assigned to this NPI record is 11D2272081 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 8/25/2023.

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			Yes

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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