NPIMap

Organization Active NPI

Advanced Ambulance Service, Inc

  • Ambulance
  • Cumming, GA
National Provider Identifier
1194890798
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
058-05 Issued in GA
Legal business name
ADVANCED AMBULANCE SERVICE, INC
Practice address
106 Colony Park Dr Ste 200
Cumming, GA 30040-2765
Phone
(770) 844-4444
Fax
(770) 886-1144
NPI assigned
Nov 21, 2006
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mr. J. B. Owen Jr.
Title
VP/General Manager
Phone
(770) 844-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 058-05 GA Primary

Addresses

Primary practice location

106 Colony Park Dr Ste 200
Cumming, GA 30040-2765

Mailing address

106 Colony Park Dr Ste 200
Cumming, GA 30040-2765
Phone (770) 844-4444

National Provider Directory

National Provider Directory

Locations

106 Colony Park Dr
Ste 200
Cumming, GA 30040
Phone (770) 844-4444

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1194890798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLONY PARK DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402765",
            "telephone_number": "770-844-4444",
            "fax_number": "770-886-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLONY PARK DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402765",
            "telephone_number": "770-844-4444",
            "fax_number": "770-886-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VP/GENERAL MANAGER",
        "authorized_official_telephone_number": "770-844-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "058-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.