# SOUTHEAST AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1588894984
- **Authorized official:** MR. JOHN L. PADGETT (PRESIDENT)
- **Authorized official phone:** (706) 202-4038

## Contact information

- **Practice address:** 121 ATHENS WEST PKWY, SUITE 111, ATHENS, GA 30606-6942
- **Practice address phone:** (706) 425-8884
- **Practice address fax:** (706) 613-1633
- **Mailing address:** PO BOX 6241, ATHENS, GA 30604-6241
- **Mailing address phone:** (706) 425-8884
- **Mailing address fax:** (706) 425-8818

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 09/30/2016