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EMERGENCY MEDICAL SERVICE OF RANDOLPH COUNTY GA
NPI 1124079389
Ambulance - Land Transport in Cuthbert, GA

Active since May 13, 2006
34 TAYLOR STREET, CUTHBERT, GA 39840(229) 732-6632(229) 732-2139 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emergency Medical Service Of Randolph County Ga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERGENCY MEDICAL SERVICE OF RANDOLPH COUNTY GA (NPI 1124079389) is a healthcare organization registered as a land transport in Cuthbert, Georgia and active in the NPI registry since May 2006. The organization lists Ellette Jackson, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1124079389
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameEMERGENCY MEDICAL SERVICE OF RANDOLPH COUNTY GA
Location Address34 TAYLOR STREETCuthbert, GA 39840-1338
Mailing Address361 Randolph StreetCuthbert, GA 39840-1338 · (229) 732-6632 · Fax (229) 732-2139
Phone(229) 732-6632
Fax(229) 732-2139
Organization SubpartNo
Authorized OfficialEllette JacksonEms Director · (229) 732-6632
Enumeration DateMay 13, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1124079389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in GA · 12001
34 TAYLOR STREET, Cuthbert, GA 39840
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Other Identifiers 2

Medicaid000002593AGA
Medicare ID-Type Unspecified85030959AAGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emergency Medical Service Of Randolph County Ga's NPI number?

The NPI number for Emergency Medical Service Of Randolph County Ga is 1124079389. It was assigned to this organization in the NPPES registry on May 13, 2006.

Where is Emergency Medical Service Of Randolph County Ga located?

Emergency Medical Service Of Randolph County Ga is located at 34 Taylor Street, Cuthbert, GA 39840. The listed phone number is (229) 732-6632.

What is Emergency Medical Service Of Randolph County Ga's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for Emergency Medical Service Of Randolph County Ga was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.