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U. S. AMBULANCE EMS
NPI 1194140103
Ambulance - Land Transport in Douglas, GA

Active since February 27, 2014CLIA 11D2199005 · Waiver
55 DELLMONTE RD, DOUGLAS, GA 31535(912) 592-3643(912) 393-1011 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About U. S. Ambulance Ems NPPES

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

U. S. AMBULANCE EMS (NPI 1194140103) is a healthcare organization registered as a land transport in Douglas, Georgia and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists John R Keanon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194140103
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameKACZOR ENTERPRISES INC
Location Address55 DELLMONTE RDDouglas, GA 31535-6135
Mailing Address2236 Mckinnon RdDouglas, GA 31535-3102 · (912) 592-3643 · Fax (912) 393-1011
Phone(912) 592-3643
Fax(912) 393-1011
Organization SubpartNo
Authorized OfficialJohn R KeanonCeo · (912) 592-3643
Enumeration DateFebruary 27, 2014
Last NPPES UpdateOctober 21, 2014
✔ NPI 1194140103 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 · 034-02
55 DELLMONTE RD, Douglas, GA 31535
Open in Google Maps ↗

Other Names 1

Doing Business AsU. S. Ambulance Ems

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2199005

Kaczor Enterprises, Inc Dba U S Ambulance Ems · Douglas, GA
Active · expires Nov 4, 2026
CLIA Number11D2199005
Laboratory TypeAmbulance
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorJohn R. Keanon
Laboratory Phone(912) 592-3643
Laboratory LocationKaczor Enterprises, Inc Dba U S Ambulance Ems200 Gimzo Lane, Douglas, GA 31535
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
12,999 services186 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
727 services141 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
47 services46 patients

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 Kaczor Enterprises Inc's NPI number?

The NPI number for Kaczor Enterprises Inc is 1194140103. It was assigned to this organization in the NPPES registry on February 27, 2014. The provider is doing business as U. S. Ambulance Ems.

Where is Kaczor Enterprises Inc located?

Kaczor Enterprises Inc is located at 55 Dellmonte Rd, Douglas, GA 31535. The listed phone number is (912) 592-3643.

What is Kaczor Enterprises Inc's specialty?

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

Does Kaczor Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2199005) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaczor Enterprises Inc was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.