Active NPI
Gol Cross Ambulance Service, Inc
- Ambulance
- Marietta, GA
National Provider Identifier
1982893715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 03333
- 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, 2007
- 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
- Mr. Eric A Regan
- Title
- President
- Phone
- (770) 596-6735
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.