# HIGGS AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1437238169
- **Authorized official:** MR. GREEN HIGGS (PRESIDENT)
- **Authorized official phone:** (912) 529-5964

## Contact information

- **Practice address:** 507 EASTMAN RD, 507 EASTMAN ROAD, SOPERTON, GA 30457-1426
- **Practice address phone:** (912) 529-5964
- **Practice address fax:** (912) 529-4385
- **Mailing address:** PO BOX 27, 507 EASTMAN ROAD, SOPERTON, GA 30457-0027
- **Mailing address phone:** (912) 529-5964
- **Mailing address fax:** (912) 529-4385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 14003 | GA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000163193B | — | GA |