Advanced Ambulance Service, Inc – Ambulance

Key facts

NPI: 1194890798
Entity type: Organization (NPI type 2)
Primary specialty: Ambulance 341600000X
License: 058-05 (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
Organization subpart: No

Authorized official

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

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulance	341600000X	058-05	GA	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2012.

{
    "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

All providers in Cumming, GA · Ambulance in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.