Organization Active NPI

Regional Ambulance Service, LLC

  • Ambulance
  • Morrow, GA
National Provider Identifier
1285194829
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on May 8, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.