NPIMap

Organization Active NPI

Heartland EMS Inc

  • Land Ambulance
  • Kingsland, GA
National Provider Identifier
1174833297
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
012-04 Issued in GA
Legal business name
HEARTLAND EMS INC
Practice address
1891 Hwy 40 E Ste 1104
Kingsland, GA 31548-6573
Phone
(478) 934-1133
Fax
(478) 934-0730
NPI assigned
Oct 8, 2010
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Mr. W. J. Cheek
Title
Ceo
Phone
(478) 934-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 012-04 GA Primary

Addresses

Primary practice location

1891 Hwy 40 E Ste 1104
Kingsland, GA 31548-6573

Mailing address

PO Box 636
Cochran, GA 31014-0636
Phone (478) 934-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000900 GA Part B Supplier - Ambulance Service Supplier 0547220121 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cochran, GA; Dublin, GA; Hawkinsville, GA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1891 Highway 40 E
Ste 1104
Kingsland, GA 31548
Phone (912) 285-0053

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1174833297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310140636",
            "telephone_number": "478-934-1133",
            "fax_number": "478-934-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 HWY 40 E STE 1104",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486573",
            "telephone_number": "478-934-1133",
            "fax_number": "478-934-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-934-1133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "012-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.