Redstar EMS

Primary specialty

AmbulanceTaxonomy code 341600000X

License

12345 Issued in GA

Legal business name

REDSTAR EMS

Practice address

132 Picasso Dr
Winterville, GA 30683-4377

Phone

(706) 308-8248

NPI assigned

Dec 17, 2012

Organization subpart

No

Name

Mr. Frank Max Grantham II, EMT

Title

Owner

Phone

(706) 308-8248

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2012.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1669718813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PICASSO DR",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306834377",
            "telephone_number": "706-308-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PICASSO DR",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306834377",
            "telephone_number": "706-308-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTAR EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "GRANTHAM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-308-8248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Winterville, GA
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.