Active NPI
Heartland EMS, Inc.
- Land Ambulance
- MC Intyre, GA
National Provider Identifier
1629005129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 012-04
- Legal business name
- HEARTLAND EMS, INC.
- Practice address
- 3102 Bellwood Rd
MC Intyre, GA 31054-2448 - Phone
- (478) 934-1133
- Fax
- (478) 934-0730
- NPI assigned
- Jun 28, 2006
- 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
3102 Bellwood Rd
MC Intyre, GA 31054-2448
Mailing address
PO Box 636
Cochran, GA 31014-0636
Phone (478) 934-1133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000652385A | Medicaid | GA | |
| 590009698 | Other | GA | RAILROAD MEDICARE |
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 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 Directory- Tax ID family
- Heartland EMS Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Cochran, GA
- NPI 1568772689
-
- Land Ambulance
- Hawkinsville, GA
- NPI 1609325018
-
- Land Ambulance
- Dublin, GA
- NPI 1720398845
-
- Land Ambulance
- Hawkinsville, GA
- NPI 1790234102
-
- Land Ambulance
- Cochran, GA
- NPI 1821308941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519344000000",
"number": "1629005129",
"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": "3102 BELLWOOD RD",
"city": "MC INTYRE",
"state": "GA",
"postal_code": "310542448",
"telephone_number": "478-934-1133",
"fax_number": "478-934-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND EMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000652385A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590009698",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Intyre, 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.