Warren County Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

149-01 Issued in GA

Legal business name

WARREN COUNTY BOARD OF COMMISSIONERS

Practice address

169 Hwy 80
Warrenton, GA 30828-8851

Phone

(706) 465-3358

Fax

(706) 465-1300

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Reese Graham, CHAIRMAN, EMT-P

Title

Chairman, Warren County Commissione

Phone

(706) 465-2171

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Warren County Emergency Medical Services Doing business as

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1699778530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "address_2": "521 MAIN ST",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308280046",
            "telephone_number": "706-465-2221",
            "fax_number": "706-465-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HWY 80",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308288851",
            "telephone_number": "706-465-3358",
            "fax_number": "706-465-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "CHAIRMAN, WARREN COUNTY COMMISSIONE",
        "authorized_official_telephone_number": "706-465-2171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHAIRMAN, EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "149-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "58-60000904",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00003132A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Warren County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Austin Sease
• Selectis Warrenton LLC
• Tender Heart Personal Care Home
• The Dollhouse Trap
• Julia Marie Veasey
• Warren County Board of Education
• Warren County Board of Health
• Warren County Board of Health
• Warren County Health Care LLC
• Warrenton Woods of Journey LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.