Advance 1 Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

AMB2016003 Issued in GA

Legal business name

ADVANCE 1 AMBULANCE LLC

Practice address

315 Industrial Way
A
Fayetteville, GA 30215-8265

Phone

(770) 771-1595

NPI assigned

Feb 23, 2016

Last updated

Feb 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Osama S Hamdan

Title

Owner

Phone

(770) 771-1595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1326408071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N",
            "address_2": "310-310",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "770-771-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 INDUSTRIAL WAY",
            "address_2": "A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158265",
            "telephone_number": "770-771-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE 1 AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-771-1595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "AMB2016003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.