County of Laurens Board of Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

087-03 Issued in GA

Legal business name

COUNTY OF LAURENS BOARD OF COMMISSIONERS

Practice address

646 County Farm Rd
Dublin, GA 31021-1799

Phone

(478) 272-0124

Fax

(478) 277-2929

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen West

Title

Deputy Director

Phone

(478) 272-0199

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurens County EMS 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": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1902890205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401523",
            "telephone_number": "478-272-0124",
            "fax_number": "478-277-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 COUNTY FARM RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310211799",
            "telephone_number": "478-272-0124",
            "fax_number": "478-277-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LAURENS BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "478-272-0199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "087-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000189406A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurens County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiley N. Cooper, RN
• Mark Charles Cooper, RPH
• McKinley Cranford Corley, PHARMD
• Colleen Theresa Correll, FNP-C
• Winfreda Council, PT
• Jennifer Cox, NP-C
• Mary Crosby Crabb, RPH
• Thomas E Craft, M.D.
• James B. Craig, OD
• Teri Stephens Crosby, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.