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PREMIERE EMS LLC. NPI 1528251915


NPI Information

NPI: 1528251915
Provider Name: PREMIERE EMS, LLC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
620 W MEMORIAL DR
SUITE F
DALLAS, GA
ZIP 30132
Phone: (770) 445-8177
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PREMIERE EMS, LLC. is a land transport ambulance in Dallas, GA. PREMIERE EMS, LLC. NPI is 1528251915. The provider is registered as an organization entity type.

The provider's business location address is:

620 W MEMORIAL DR
SUITE F
DALLAS, GA
ZIP 30132-440
Phone: (770) 445-8177
Fax: (770) 445-8160

The provider's authorized official is James Wesley Shurling .
The authorized official title is Ceo and has the following contact phone number (770) 445-8177.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 1/22/2009.


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
1343900000XNon-emergency Medical Transport (VAN)11008GEORGIANo
23416L0300XAmbulanceLand Transport110-08GEORGIAYes

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
1511G590002OTHERGEORGIAMEDICARE PART B
2307141905AMEDICAIDGEORGIA

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

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