Harris County Commissioner of Roads & Revenues

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

072-02 Issued in GA

Legal business name

HARRIS COUNTY COMMISSIONER OF ROADS & REVENUES

Doing business as

Harris County Ambulance Service

Practice address

9907 Hwy 116
Hamilton, GA 31811

Phone

(706) 628-4284

NPI assigned

Oct 5, 2006

Last updated

Feb 11, 2013By 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

Mr. David McCall

Title

Chief

Phone

(706) 628-4284

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harris County Ambulance Service 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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1881780799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318110365",
            "telephone_number": "706-628-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 HWY 116",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "31811",
            "telephone_number": "706-628-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS COUNTY COMMISSIONER OF ROADS & REVENUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "706-628-4284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "072-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182476A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Froelich
• George Alexander Garrett, O.D.
• Casandra Hagman, LCSW
• Harris County Board of Education
• Harris County Board of Health
• Harris County Physical Therapy LLC
• Tomekia Yolanda Hinton, LPN
• Holmes Pharmacy Inc (Holmes Pharmacy at Hamilton)
• Inspired Journeys Counseling and Consulting Services, LLC
• Hannah Jeppesen, DMD

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

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

Verify at the official NPI Registry.