Organization Active NPI

Dade County, Georgia

  • Land Ambulance
  • Trenton, GA
National Provider Identifier
1629377973
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
041-01 Issued in GA
Legal business name
DADE COUNTY, GEORGIA
Practice address
71 Case Ave
Trenton, GA 30752-2429
Phone
(706) 657-4625
Fax
(706) 657-5116
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mr. Alex Case
Title
Director
Phone
(706) 657-4625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 041-01 GA Primary

Addresses

Primary practice location

71 Case Ave
Trenton, GA 30752-2429

Mailing address

PO Box 613
Trenton, GA 30752-0613
Phone (706) 657-4625

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1629377973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307520613",
            "telephone_number": "706-657-4625",
            "fax_number": "706-657-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CASE AVE",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522429",
            "telephone_number": "706-657-4625",
            "fax_number": "706-657-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE COUNTY, GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-657-4625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "041-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.