Organization Active NPI

343 Ambulance Service LLC

Doing business as 343 Ambulance Service

  • Land Ambulance
  • Perry, GA
National Provider Identifier
1316455173
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
343 AMBULANCE SERVICE LLC
Doing business as
343 Ambulance Service
Practice address
1835 Macon Rd
Perry, GA 31069-2212
Phone
(478) 951-3341
NPI assigned
Jan 15, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Mr. Thomas Whitfield Schonau
Title
Managing Member
Phone
(478) 973-8451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

1835 Macon Rd
Perry, GA 31069-2212

Mailing address

1835 Macon Rd
Perry, GA 31069-2212
Phone (478) 951-3341

Other names 1

  • 343 Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180914001280 GA Part B Supplier - Ambulance Service Supplier 2163773052 Practice locations: Perry, GA

National Provider Directory

National Provider Directory

Locations

1835 Macon Rd
Perry, GA 31069
Phone (478) 951-3341

413 Valley Dr
Perry, GA 31069
Phone (478) 607-2800

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1316455173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 MACON RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692212",
            "telephone_number": "478-951-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 MACON RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692212",
            "telephone_number": "478-951-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "343 AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHONAU",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WHITFIELD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "478-973-8451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "343 Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.