BACON COUNTY COMMISSIONERS NPI 1548329709

NPI Information

NPI: 1548329709
Provider Name: BACON COUNTY COMMISSIONERS

Doing Business As: ALMA BACON COUNTY AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
307 SOUTH DIXON STREET,
SUITE D
ALMA, GA
ZIP 31510
Phone: (912) 632-8311
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BACON COUNTY COMMISSIONERS is a land transport ambulance in Alma, GA. BACON COUNTY COMMISSIONERS NPI is 1548329709. The provider is registered as an organization entity type.
The provider Is Doing Business As Alma Bacon County Ambulance Service.

The provider's business location address is:

307 SOUTH DIXON STREET,
SUITE D
ALMA, GA
ZIP 31510-717
Phone: (912) 632-8311
Fax: (912) 632-2351

The provider's authorized official is Paul Wesley Taylor .
The authorized official title is Director and has the following contact phone number (912) 632-8737.

The CLIA number assigned to this NPI record is 11D2234065 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 4/16/2013.

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	003-01	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	88028059AA	MEDICARE UPIN	GEORGIA
2	407590116	OTHER	GEORGIA	RAILROAD MEDICARE
3	000002406A	MEDICAID	GEORGIA
4	85028059AA	MEDICARE ID-TYPE UNSPECIFIED	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

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