# TRI-COUNTY AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1346340643
- **Authorized official:** JACKIE ELLINGTON (DIRECTOR)
- **Authorized official phone:** 7

## Contact information

- **Practice address:** 332 ROSE GARDEN LN, ELLIJAY, GA 30540-5736
- **Practice address phone:** 7
- **Mailing address:** PO BOX 1725, ELLIJAY, GA 30540-0033
- **Mailing address phone:** 7

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 061-02 | GA | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020