WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES NPI 1659435303

NPI Information

NPI: 1659435303
Provider Name: WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 11D2198996

Address:
529 AMERICAN LEGION ROAD
ROCHELLE, GA
ZIP 31079
Phone: (229) 365-7562
Get Directions

WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES is a land transport ambulance in Rochelle, GA. WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES NPI is 1659435303. The provider is registered as an organization entity type.

The provider's business location address is:

529 AMERICAN LEGION ROAD
ROCHELLE, GA
ZIP 31079
Phone: (229) 365-7562
Fax: (229) 365-7948

The provider's authorized official is Charles Futch .
The authorized official title is Director and has the following contact phone number (292) 457-0966.

The CLIA number assigned to this NPI record is 11D2198996 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 12/8/2023.

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	15602	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	00067724A	MEDICAID	GEORGIA
2	N340761	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: 5/5/2024

NPI Synchronization or Removal

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