# PEACH COUNTY BOARD OF COMMISSIONERS

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

## Provider details

- **NPI number:** 1326001108
- **Authorized official:** ALFONZO C FORD (DIRECTOR)
- **Authorized official phone:** (478) 477-7131

## Contact information

- **Practice address:** 205 W CHURCH ST, FORT VALLEY, GA 31030-3732
- **Practice address phone:** (478) 477-7131
- **Practice address fax:** (478) 477-5636
- **Mailing address:** 205 W CHURCH ST, FORT VALLEY, GA 31030-3732
- **Mailing address phone:** (478) 477-7131
- **Mailing address fax:** (478) 477-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 111-04 | GA | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00065513A | — | GA |