BRAVEHEART MEDICAL RESPONSE LLC NPI 1558892000

NPI Information

NPI: 1558892000
Provider Name: BRAVEHEART MEDICAL RESPONSE LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
650 HILLCREST RD NW
SUITE 100
LILBURN, GA
ZIP 30047
Phone: (770) 802-4700
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BRAVEHEART MEDICAL RESPONSE LLC is a land transport ambulance in Lilburn, GA. BRAVEHEART MEDICAL RESPONSE LLC NPI is 1558892000. The provider is registered as an organization entity type.

The provider's business location address is:

650 HILLCREST RD NW
SUITE 100
LILBURN, GA
ZIP 30047-711
Phone: (770) 802-4700
Fax: (770) 802-4702

The provider's authorized official is Bernadette Moore .
The authorized official title is President and has the following contact phone number (770) 802-4700.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 10/28/2019.

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	AMB2017007	GEORGIA	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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