1St Responders EMS
Organization Active NPI Land Ambulance · McDonough, GA
NPI 1013433382 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1013433382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- 1ST RESPONDERS EMS
- Practice address
- 689 Blue Ash CT
McDonough, GA 30253-3019 - Phone
- (770) 309-8939
- NPI assigned
- Aug 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Hanz Joseph Fequiere
- Title
- Ceo
- Phone
- (678) 592-2656
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203000820 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466717095 | Practice locations: McDonough, GA |
National Provider Directory
Locations
155 Westridge Pkwy
Ste 105
McDonough, GA 30253
Phone (404) 954-1306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
689 Blue Ash CT
McDonough, GA 30253-3019
Mailing address
689 Blue Ash CT
McDonough, GA 30253-3019
Phone (770) 309-8939
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.