Active NPI
Regional Ambulance Service, LLC
- Ambulance
- Morrow, GA
National Provider Identifier
1285194829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- REGIONAL AMBULANCE SERVICE, LLC
- Practice address
- 2054 Rex Rd Ste 5C
Morrow, GA 30260-3970 - Phone
- (800) 404-6454
- NPI assigned
- Mar 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy Scott Crocker
- Title
- Organizer
- Phone
- (404) 987-2166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2054 Rex Rd Ste 5C
Morrow, GA 30260-3970
Mailing address
PO Box 119
Morrow, GA 30260-0119
Phone (404) 987-2166
National Provider Directory
National Provider DirectoryLocations
2054 Rex Rd
Ste 5C
Morrow, GA 30260
Phone (800) 404-6454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557273600000",
"number": "1285194829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 119",
"city": "MORROW",
"state": "GA",
"postal_code": "302600119",
"telephone_number": "404-987-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2054 REX RD STE 5C",
"city": "MORROW",
"state": "GA",
"postal_code": "302603970",
"telephone_number": "800-404-6454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL AMBULANCE SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-20",
"last_updated": "2019-05-08",
"status": "A",
"authorized_official_last_name": "CROCKER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "404-987-2166",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.