Organization Active NPI

Muscogee Ambulance LLC

  • Land Ambulance
  • Columbus, GA
National Provider Identifier
1811328230
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
106-13 Issued in GA
Legal business name
MUSCOGEE AMBULANCE LLC
Practice address
3554 Hilton Ave
Columbus, GA 31904-7302
Phone
(762) 822-8841
Fax
(706) 507-0899
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Alia Mezayek
Title
Ceo
Phone
(762) 822-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 106-13 GA Primary

Addresses

Primary practice location

3554 Hilton Ave
Columbus, GA 31904-7302

Mailing address

3554 Hilton Ave
Columbus, GA 31904-7302
Phone (762) 822-8841

National Provider Directory

National Provider Directory

Locations

3554 Hilton Ave
Columbus, GA 31904
Phone (762) 822-8841

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1811328230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 HILTON AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047302",
            "telephone_number": "762-822-8841",
            "fax_number": "706-507-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 HILTON AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047302",
            "telephone_number": "762-822-8841",
            "fax_number": "706-507-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCOGEE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MEZAYEK",
        "authorized_official_first_name": "ALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "762-822-7373"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "106-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.