Chattooga County Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

027-04 Issued in GA

Legal business name

CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE

Practice address

200 Stockade Rd
Summerville, GA 30747-1947

Phone

(706) 857-0734

Fax

(706) 857-0731

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Herbert Alton Dodd

Title

Director

Phone

(706) 857-0734

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124137211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STOCKADE RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471947",
            "telephone_number": "706-857-0734",
            "fax_number": "706-857-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STOCKADE RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471947",
            "telephone_number": "706-857-0734",
            "fax_number": "706-857-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTOOGA COUNTY EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-857-0734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "027-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Summerville, GA
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.