Jasper County Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

079-02 Issued in GA

Legal business name

JASPER COUNTY EMERGENCY MEDICAL SERVICE

Practice address

185 Highway 212 W
Monticello, GA 31064-0000

Phone

(706) 468-4943

Fax

(706) 468-4939

NPI assigned

Nov 22, 2005

Last updated

Jun 17, 2022By 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

Christopher Finch

Title

EMS Director

Phone

(678) 603-8915

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1609859818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W. GREENE ST.",
            "address_2": "SUITE 031",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641171",
            "telephone_number": "706-468-1091",
            "fax_number": "706-468-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HIGHWAY 212 W",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310640000",
            "telephone_number": "706-468-4943",
            "fax_number": "706-468-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "678-603-8915"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "079-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005684A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jasper Health Services, Inc. (Jasper Memorial Hospital)
• Jasper Health Services, Inc. (Jasper Memorial Hospital)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.