Organization Active NPI

Memorial Ambulance LLC

  • Land Ambulance
  • Gainesville, GA
National Provider Identifier
1760711659
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
069-18 Issued in GA
Legal business name
MEMORIAL AMBULANCE LLC
Practice address
2441 Hilton Dr # 502
Gainesville, GA 30501-6264
Phone
(770) 531-7222
Fax
(678) 707-7060
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Mr. Mohammad Alhejja
Title
Owner
Phone
(770) 531-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 069-18 GA Primary

Addresses

Primary practice location

2441 Hilton Dr # 502
Gainesville, GA 30501-6264

Mailing address

2441 Hilton Dr # 502
Gainesville, GA 30501-6264
Phone (770) 531-7222

National Provider Directory

National Provider Directory

Locations

3446 Winder Hwy
Ste M177
Flowery Branch, GA 30542

2441 Hilton Dr
#502
Gainesville, GA 30501
Phone (770) 531-7222

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1760711659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 HILTON DR # 502",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016264",
            "telephone_number": "770-531-7222",
            "fax_number": "678-707-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 HILTON DR # 502",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016264",
            "telephone_number": "770-531-7222",
            "fax_number": "678-707-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "ALHEJJA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-531-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "069-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.