ADVENTIST HEALTH SYSTEM GEORGIA INC. NPI 1669867487

NPI Information

NPI: 1669867487
Provider Name: ADVENTIST HEALTH SYSTEM GEORGIA, INC.

Doing Business As: ADVENTHEALTH MURRAY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
707 OLD DALTON ELLIJAY RD
CHATSWORTH, GA
ZIP 30705
Phone: (706) 517-4564
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ADVENTIST HEALTH SYSTEM GEORGIA, INC. is a land transport ambulance in Chatsworth, GA. ADVENTIST HEALTH SYSTEM GEORGIA, INC. NPI is 1669867487. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventhealth Murray Ems.

The provider's business location address is:

707 OLD DALTON ELLIJAY RD
CHATSWORTH, GA
ZIP 30705-029
Phone: (706) 517-4564
Fax: (706) 517-2076

The provider's authorized official is Christopher Self .
The authorized official title is President/ceo and has the following contact phone number (706) 879-4710.

The CLIA number assigned to this NPI record is 11D0262298 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/30/2015 and was last updated on 2/21/2023.

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	0105125	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	00001383B	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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