Active NPI
Cherokee County Board of Commissioners
- Land Ambulance
- Canton, GA
National Provider Identifier
1801972625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 028-03
- Legal business name
- CHEROKEE COUNTY BOARD OF COMMISSIONERS
- Practice address
- 150 Chattin Dr
Canton, GA 30115-8249 - Phone
- (678) 614-8957
- NPI assigned
- Oct 27, 2006
- Last updated
- Apr 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan West
- Title
- Chief
- Phone
- (678) 614-8957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 028-03 | GA | Primary |
Addresses
Primary practice location
150 Chattin Dr
Canton, GA 30115-8249
Mailing address
N2930 State Road 22
Wautoma, WI 54982-5267
Phone (920) 787-2291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406590727 | Other | GA | RAILROAD MEDICARE |
| 000764233B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040521000775 | GA | Part B Supplier - Ambulance Service Supplier | 3870584477 | Practice locations: Canton, GA |
National Provider Directory
National Provider DirectoryLocations
150 Chattin Dr
Canton, GA 30115
Phone (678) 493-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366156800000",
"number": "1801972625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2930 STATE ROAD 22",
"city": "WAUTOMA",
"state": "WI",
"postal_code": "549825267",
"telephone_number": "920-787-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CHATTIN DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301158249",
"telephone_number": "678-614-8957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEROKEE COUNTY BOARD OF COMMISSIONERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2013-04-17",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "678-614-8957"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "028-03",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406590727",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000764233B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Anastasiya Yuryevna Chekerenda, PA-C
- Victor W Chen, MD
- Cherokee Angel Senior Care & Training Center
- Cherokee Center for Nursing and Healing LLC
- Cherokee Children's Dentistry
- Cherokee County Health Department (Living Bridge Center South)
- Cherokee County Health Department
- Cherokee County School Dirstrict
- Cherokee Day Training Center, Inc.
- Cherokee Eye Group, Inc. (Cherokee Eye Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.