Jenkins County Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

08201 Issued in GA

Legal business name

JENKINS COUNTY BOARD OF COMMISSIONERS

Practice address

611 E Winthrope Ave
Millen, GA 30442-1833

Phone

(478) 982-2563

Fax

(478) 982-4750

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol J. Cates

Title

Administrator

Phone

(478) 982-2563

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JENKINS COUNTY AMBULANCE SERVICE Other name

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1457541690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304420797",
            "telephone_number": "478-982-2563",
            "fax_number": "478-982-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E WINTHROPE AVE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304421833",
            "telephone_number": "478-982-2563",
            "fax_number": "478-982-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "CATES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-982-2563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "08201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10070315",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "85030059AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENKINS COUNTY AMBULANCE SERVICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hospital Authority of Jenkins County
• Hospital Authority of Jenkins County
• Hospital Authority of Jenkins County
• Insulinic of Georgia LLC
• Jenkins County Authority
• Jenkins County Boe
• Jenkins County Health Department
• Jenkins County Health Department
• Jenkins County Hospital
• Jenkins County Hospital LLC

• Land Ambulance in Millen, GA
• Providers in Millen, 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 25, 2007; 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.