# MARINE CORPS LOGISTICS BASE ALBANY, GA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCLB Albany
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598064289
- **Authorized official:** FOREST M THOMAS (ASST. FIRE CHIEF OF OPERATIONS)
- **Authorized official phone:** (229) 639-5610

## Contact information

- **Practice address:** 814 RADFORD BLVD, SUITE 20346, ALBANY, GA 31704-1130
- **Practice address phone:** (229) 639-5610
- **Mailing address:** 814 RADFORD BLVD, SUITE 20346, ALBANY, GA 31704-1130
- **Mailing address phone:** (229) 639-5610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 993 | GA | Yes |

## Other

- **Enumeration date:** 03/21/2011
- **Last updated:** 06/02/2014