Commissioners of Roads and Revenues Taylor County
Organization Active NPI Ambulance · Butler, GA
NPI 1962593541 · NPPES record last updated Sep 25, 2008
Key facts
- NPI
- 1962593541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 133-01 (GA)
- Legal business name
- COMMISSIONERS OF ROADS AND REVENUES TAYLOR COUNTY
- Practice address
- 1 Court Square
Butler, GA 31006 - Phone
- (478) 847-3435
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Gary Lowe
- Title
- EMS Director
- Phone
- (478) 847-3435
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050331000275 | GA | Part B Supplier - Ambulance Service Supplier | 6901853134 | Practice locations: Butler, GA |
National Provider Directory
Locations
22 E Main St
Butler, GA 31006
Phone (478) 837-8127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 133-01 | GA | Yes |
Addresses
Primary practice location
1 Court Square
Butler, GA 31006
Mailing address
1 Court Square
Butler, GA 31006
Phone (478) 847-3435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000003033A | Medicaid | GA |
Other providers in Butler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.