Promed Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PROMED AMBULANCE SERVICE

Doing business as

Promed Ambulance Service

Practice address

8455 Highway 85
BLDG 200, Suite E
Riverdale, GA 30274-5115

Phone

(678) 610-0580

Fax

(678) 610-0582

NPI assigned

Nov 21, 2009

Last updated

Nov 21, 2009By 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. Frank E Middlebrooks Sr.

Title

Owner

Phone

(678) 610-0580

Specialties & licenses 1

Addresses

Other names 1

• Promed Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1258761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258761600000",
    "number": "1356679815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 HIGHWAY 85",
            "address_2": "BLDG 200, SUITE E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745115",
            "telephone_number": "678-610-0580",
            "fax_number": "678-610-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 HIGHWAY 85",
            "address_2": "BLDG 200, SUITE E",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745115",
            "telephone_number": "678-610-0580",
            "fax_number": "678-610-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-21",
        "last_updated": "2009-11-21",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOKS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-610-0580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promed Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; 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.