# TIFT COUNTY COMMISSIONER OF ROADS & REVENUES

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

## Provider details

- **NPI number:** 1356447536
- **Authorized official:** MICHAEL CHAFIN (EMS DIRECTOR)
- **Authorized official phone:** (229) 388-6041

## Contact information

- **Practice address:** 1209 N TIFTON AVENUE, TIFTON, GA 31793
- **Practice address phone:** (229) 386-7924
- **Practice address fax:** (229) 386-7923
- **Mailing address:** PO BOX 1980, TIFTON, GA 31793-1980
- **Mailing address phone:** (229) 386-7924
- **Mailing address fax:** (229) 386-7923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 13701 | GA | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 09/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000003077A | — | GA |
| 01 | — | 85028359AA | MEDICARE PTAN | GA |