# OFFICE OF GILMER COUNTY COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gilmer County Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184614208
- **Authorized official:** SANDRA T HOLDEN (FINANCIAL OFFICER)
- **Authorized official phone:** (706) 635-4361

## Contact information

- **Practice address:** 325 HOWARD SIMMONS RD, ELLIJAY, GA 30540-6449
- **Practice address phone:** (706) 635-1333
- **Practice address fax:** (706) 635-1334
- **Mailing address:** 325 HOWARD SIMMONS RD, ELLIJAY, GA 30540-6449
- **Mailing address phone:** (706) 635-1333
- **Mailing address fax:** (706) 635-1334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 061-01 | GA | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 02/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000002692A | — | GA |