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

Organization subpart

No

Name

Alia Mezayek

Title

Administrator/Director

Phone

(762) 821-1042

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, last updated by the provider on Oct 29, 2012.

{
    "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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• All providers in Columbus, GA
• 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.