SPARTAN EMS LLC NPI 1760146252

NPI Information

NPI: 1760146252
Provider Name: SPARTAN EMS LLC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 11D2250355

Address:
3455 LEISURE LN
GAINESVILLE, GA
ZIP 30506
Phone: (770) 530-4355
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SPARTAN EMS LLC is an ambulance in Gainesville, GA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). SPARTAN EMS LLC NPI is 1760146252. The provider is registered as an organization entity type.

The provider's business location address is:

3455 LEISURE LN
GAINESVILLE, GA
ZIP 30506-715
Phone: (770) 530-4355

The provider's authorized official is Mark Sean Hulsey .
The authorized official title is Owner and has the following contact phone number (770) 530-4355.

The CLIA number assigned to this NPI record is 11D2250355 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.

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	341600000X	Ambulance				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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