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Organization

JENKINS COUNTY BOARD OF COMMISSIONERS

Active
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Organization

JENKINS COUNTY BOARD OF COMMISSIONERS

Active
Other names
JENKINS COUNTY AMBULANCE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL J. CATES (ADMINISTRATOR)
(478) 982-2563
Entity
Organization

Contact information

Practice address
611 E WINTHROPE AVE, MILLEN, GA 30442-1833
(478) 982-2563
(478) 982-4750
Mailing address
PO BOX 797, MILLEN, GA 30442-0797
(478) 982-2563
(478) 982-4750

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
08201
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10070315
—
GA
01
—
85030059AA
MEDICARE
GA
Enumeration date
07/25/2007
Last updated
07/25/2007
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