Higgs Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

14003 Issued in GA

Legal business name

HIGGS AMBULANCE SERVICE INC

Practice address

507 Eastman Rd
507 Eastman Road
Soperton, GA 30457-1426

Phone

(912) 529-5964

Fax

(912) 529-4385

NPI assigned

Nov 3, 2006

Last updated

Jul 15, 2008By 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. Green Higgs

Title

President

Phone

(912) 529-5964

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1437238169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "507 EASTMAN ROAD",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304570027",
            "telephone_number": "912-529-5964",
            "fax_number": "912-529-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 EASTMAN RD",
            "address_2": "507 EASTMAN ROAD",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304571426",
            "telephone_number": "912-529-5964",
            "fax_number": "912-529-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGS AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HIGGS",
        "authorized_official_first_name": "GREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-529-5964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "14003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000163193B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Soperton, GA
• Providers in Soperton, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.