# HALIFAX EMS LLC

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

## Provider details

- **NPI number:** 1396336517
- **Authorized official:** ZACKARY L. CLEMONS (OWNER)
- **Authorized official phone:** (770) 545-7222

## Contact information

- **Practice address:** 220 BEN BURTON CIR STE A, BOGART, GA 30622-6851
- **Practice address phone:** (770) 545-7222
- **Practice address fax:** (706) 243-4760
- **Mailing address:** 220 BEN BURTON CIR STE A, BOGART, GA 30622-6851
- **Mailing address phone:** (770) 545-7222
- **Mailing address fax:** (706) 243-4760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2021
- **Last updated:** 07/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1710378963 | — | GA |