DFCS-Region 1 Field Fiscal Office

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DFCS-REGION 1 FIELD FISCAL OFFICE

Practice address

621 Mauldin Rd NW
Calhoun, GA 30701-8508

Phone

(706) 624-1245

Fax

(706) 624-1196

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Ingrid Bolechova, ING.

Title

Fiscal Operations Manager

Phone

(706) 624-1245

Specialties & licenses 3

Addresses

Other names 1

• Region 1 Regional Accounting Other name

Locations

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1629635875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30703",
            "telephone_number": "706-624-1245",
            "fax_number": "706-624-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MAULDIN RD NW",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307018508",
            "telephone_number": "706-624-1245",
            "fax_number": "706-624-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFCS-REGION 1 FIELD FISCAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BOLECHOVA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "FISCAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "706-624-1245",
        "authorized_official_credential": "ING."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Region 1 Regional Accounting",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Region 1 Regional Accounting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blakeley R Derrick, DC
• Designed to Nurture Wellness Studio LLC
• Jean Daniel Devarennes
• Scott Alan Richard Devries, NP
• DFCS Region 3 Field Fiscal Services Office
• Elizabeth H. Dial, MS, LPC, NCC
• Jessica Dobash, NP
• Dana Lynn Dockery, LCSW
• Dr. Leon Gresham
• Marc Mitchell Dyke, CRNA

• Non-emergency Medical Transport (VAN) in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.