Active NPI
Heartland EMS Inc
- Land Ambulance
- Brunswick, GA
National Provider Identifier
1528378643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 012-04
- Legal business name
- HEARTLAND EMS INC
- Practice address
- 2903 Kemble Ave
Brunswick, GA 31520-4712 - Phone
- (478) 934-1133
- Fax
- (478) 934-0730
- NPI assigned
- Oct 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. W. J. Cheek
- Title
- President
- Phone
- (478) 934-1133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 012-04 | GA | Primary |
Addresses
Primary practice location
2903 Kemble Ave
Brunswick, GA 31520-4712
Mailing address
PO Box 636
Cochran, GA 31014-0636
Phone (478) 934-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041018000900 | GA | Part B Supplier - Ambulance Service Supplier | 0547220121 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cochran, GA; Dublin, GA; Hawkinsville, GA |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519344000000",
"number": "1528378643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636",
"city": "COCHRAN",
"state": "GA",
"postal_code": "310140636",
"telephone_number": "478-934-1133",
"fax_number": "478-934-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 KEMBLE AVE",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204712",
"telephone_number": "478-934-1133",
"fax_number": "478-934-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND EMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-08",
"last_updated": "2018-02-23",
"status": "A",
"authorized_official_last_name": "CHEEK",
"authorized_official_first_name": "W.",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "478-934-1133",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "012-04",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.