# MARION COUNTY COMMISSIONER OF ROADS AND REVENUE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marion County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225100589
- **Authorized official:** MARK C DEJONG (EMS DIRECTOR)
- **Authorized official phone:** (229) 314-4569

## Contact information

- **Practice address:** 100 BURKHALTER AVE, BUENA VISTA, GA 31803-9701
- **Practice address phone:** (229) 314-4569
- **Practice address fax:** (229) 649-2033
- **Mailing address:** PO BOX 702, BUENA VISTA, GA 31803-0702
- **Mailing address phone:** (229) 649-3025
- **Mailing address fax:** (229) 649-2033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 096-01 | GA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 04/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000493435A | — | GA |
| 01 | — | 590007352 | RAILROAD MEDCARE | GA |