Organization Active NPI

Gol Cross Ambulance Service, Inc

  • Ambulance
  • Marietta, GA
National Provider Identifier
1982893715
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03333 Issued in GA
Legal business name
GOL CROSS AMBULANCE SERVICE, INC
Practice address
436 Roswell St SE
Marietta, GA 30060-2067
Phone
(678) 355-1775
Fax
(678) 355-1726
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mr. Eric A Regan
Title
President
Phone
(770) 596-6735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03333 GA Primary

Addresses

Primary practice location

436 Roswell St SE
Marietta, GA 30060-2067

Mailing address

436 Roswell St SE
Marietta, GA 30060-2067
Phone (678) 355-1775

National Provider Directory

National Provider Directory

Locations

436 Roswell St SE
Marietta, GA 30060
Phone (678) 355-1775

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1982893715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ROSWELL ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602067",
            "telephone_number": "678-355-1775",
            "fax_number": "678-355-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ROSWELL ST SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602067",
            "telephone_number": "678-355-1775",
            "fax_number": "678-355-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOL CROSS AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-596-6735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "03333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.