# FROM THE HEART MEDICAL TRANSPORTATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043784465
- **Authorized official:** JULIAN GAINEY (CEO)
- **Authorized official phone:** (478) 250-5143

## Contact information

- **Practice address:** 698 MLK BLVD, MACON, GA 31201-3285
- **Practice address phone:** (478) 250-5143
- **Mailing address:** PO BOX 6771, MACON, GA 31208-6771
- **Mailing address phone:** (478) 250-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2019
- **Last updated:** 01/18/2019