# TRICARE AMBULANCE SERVICE L.L.C.

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

## Provider details

- **NPI number:** 1043875586
- **Authorized official:** MR. ELI SASHA HAYES (MANAGING PARTNER)
- **Authorized official phone:** (912) 282-8657

## Contact information

- **Practice address:** 172 PINE HOLLOW LN, ALMA, GA 31510
- **Practice address phone:** (888) 388-7422
- **Mailing address:** 172 PINE HOLLOW LN, ALMA, GA 31510
- **Mailing address phone:** (888) 388-7422

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 05/28/2020