# JENKINS COUNTY BOARD OF COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JENKINS COUNTY AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457541690
- **Authorized official:** MRS. CAROL J. CATES (ADMINISTRATOR)
- **Authorized official phone:** (478) 982-2563

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 08201 | GA | Yes |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 07/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10070315 | — | GA |
| 01 | — | 85030059AA | MEDICARE | GA |
