Active NPI
Bryan County Emergency Medical Service
- Land Ambulance
- Pembroke, GA
National Provider Identifier
1972611663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 01501
- Legal business name
- BRYAN COUNTY EMERGENCY MEDICAL SERVICE
- Practice address
- 116 Lanier Street
Pembroke, GA 31321 - Phone
- (912) 653-3867
- Fax
- (912) 653-3830
- NPI assigned
- Aug 25, 2006
- 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
- Linda S. Miller
- Title
- Billing and Accounting Clerk
- Phone
- (912) 653-3867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 01501 | GA | Primary |
Addresses
Primary practice location
116 Lanier Street
Pembroke, GA 31321
Mailing address
116 Lanier Street
Pembroke, GA 31321
Phone (912) 653-3867
National Provider Directory
National Provider Directory- Tax ID family
- Bryan County Emergency Medical Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Richmond Hill, GA
- NPI 1952319360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972611663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LANIER STREET",
"city": "PEMBROKE",
"state": "GA",
"postal_code": "31321",
"telephone_number": "912-653-3867",
"fax_number": "912-653-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 LANIER STREET",
"city": "PEMBROKE",
"state": "GA",
"postal_code": "31321",
"telephone_number": "912-653-3867",
"fax_number": "912-653-3830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN COUNTY EMERGENCY MEDICAL SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "BILLING AND ACCOUNTING CLERK",
"authorized_official_telephone_number": "912-653-3867"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "01501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.