Three Rivers EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

THREE RIVERS EMS LLC

Practice address

204 Beach Rd
Baxley, GA 31513-8793

Phone

(912) 705-3595

Fax

(912) 705-6024

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Peck

Title

Ceo

Phone

(912) 705-3595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1770130155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BEACH RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315138793",
            "telephone_number": "912-705-3595",
            "fax_number": "912-705-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BEACH RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315138793",
            "telephone_number": "912-705-3595",
            "fax_number": "912-705-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-705-3595"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Baxley and Appling County Hospital Authority (Appling Womens Health and Wellness Center)
• The Baxley and Appling County Hospital Authority (Appling Physicians Group)
• The Baxley Appling County Hospital Authority (Appling Nursing Home)
• The Baxley-Appling County Hospital Authority (Appling Convalescent Center)
• Brenda M. Thompson, FNP
• Logan Brooke Tillman, FNP
• Tissue Issue Inc
• Toni Miles Tomberlin
• Vidalia Health Services, LLC (Sleep Center-Baxley, a department of Memorial Health Meadows Hospital)
• Vitalocity Urgent Care, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.