Ambulance Service Management, LLC
Organization Active NPI Land Ambulance · Gainesville, GA
NPI 1972802601 · NPPES record last updated Dec 11, 2013
Key facts
- NPI
- 1972802601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 069-23 (GA)
- Legal business name
- AMBULANCE SERVICE MANAGEMENT, LLC
- Practice address
- 2305 Danbury LN
Suite C
Gainesville, GA 30507-7311 - Phone
- (678) 343-2020
- NPI assigned
- Mar 21, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Leonard Howell Coleman III
- Title
- Cfo
- Phone
- (678) 343-2020
National Provider Directory
Locations
2305 Danbury Ln
Ste C
Gainesville, GA 30507
Phone (678) 343-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 069-23 | GA | Yes |
Addresses
Primary practice location
2305 Danbury LN
Suite C
Gainesville, GA 30507-7311
Mailing address
2305 Danbury LN
Suite C
Gainesville, GA 30507-7311
Phone (678) 343-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202G595426 | Other | GA | MEDICARE PTAN |
| 003129426A | Medicaid | GA |
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All providers in Gainesville, GA · Land Ambulance in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.