PRIORITY CARE AMBULANCE SERVICE LLC NPI 1467706317

Ambulance (Land Transport) in Wrens, GA

NPI 1467706317 Organization Ambulance Land Transport

About PRIORITY CARE AMBULANCE SERVICE LLC

Priority Care Ambulance Service Llc is a provider established in Wrens, Georgia specializing in ambulance (land transport) . The NPI number of Priority Care Ambulance Service Llc is 1467706317 and was assigned on October 2012. The practitioner's primary taxonomy code is 3416L0300X with license number 121-12 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Melissa Oden (Owner)

NPI

1467706317

Provider NamePRIORITY CARE AMBULANCE SERVICE LLC
Provider Location Address202 HWY 17 N SUITE C WRENS, GA 30833
Provider Mailing Address202 HWY 17N SUITE C WRENS, GA 30833
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-30-2012
Last Update Date08-13-2013


Primary Taxonomy

Taxonomy Code3416L0300X
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.121-12
License StateGA

Business Address

PRIORITY CARE AMBULANCE SERVICE LLC
202 HWY 17 N
SUITE C
WRENS, GA
ZIP 30833
Phone: (706) 547-0840
Fax: (706) 547-2949

Get Directions


Mailing Address

PRIORITY CARE AMBULANCE SERVICE LLC
202 HWY 17N
SUITE C
WRENS, GA
ZIP 30833
Phone: (706) 547-0840
Fax: (706) 547-0845



Authorized Official

Authorized Official NameMRS. MELISSA ODEN
Authorized Official TitleOWNER
Authorized Official Phone(615) 585-4444

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.