# REGIONAL AMBULANCE SERVICE, LLC

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

## Provider details

- **NPI number:** 1285194829
- **Authorized official:** MR. RANDY SCOTT CROCKER (ORGANIZER)
- **Authorized official phone:** (404) 987-2166

## Contact information

- **Practice address:** 2054 REX RD STE 5C, MORROW, GA 30260-3970
- **Practice address phone:** (800) 404-6454
- **Mailing address:** PO BOX 119, MORROW, GA 30260-0119
- **Mailing address phone:** (404) 987-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2019
- **Last updated:** 05/08/2019