EMS Care Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

106-11 Issued in GA

Legal business name

EMS CARE AMBULANCE LLC

Practice address

1218 Noland Dr
Columbus, GA 31907-3872

Phone

(762) 822-7373

Fax

(762) 821-1042

NPI assigned

Aug 18, 2011

Last updated

Oct 29, 2012By 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

Alia Mezayek

Title

Administrator/Director

Phone

(762) 821-1042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1447530787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 NOLAND DRIVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073872",
            "telephone_number": "762-822-7373",
            "fax_number": "762-821-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 NOLAND DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073872",
            "telephone_number": "762-822-7373",
            "fax_number": "762-821-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMS CARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "MEZAYEK",
        "authorized_official_first_name": "ALIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "762-821-1042"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "106-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.