# COMMISSIONER OF ROADS & REVENUE WHEELER COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wheeler County Ems
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629437280
- **Authorized official:** SELENA F HOWELL (DIRECTOR)
- **Authorized official phone:** (912) 423-9692

## Contact information

- **Practice address:** 18 NW 3RD AVENUE, GLENWOOD, GA 30428-3730
- **Practice address phone:** (125) 232-7009
- **Practice address fax:** (912) 523-5600
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-8413
- **Mailing address fax:** (270) 744-8642

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 04/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003176045A | — | GA |
| 01 | — | 710474800 | DOL -FECA/ BL / ENERGY | GA |
| 01 | — | N1207418 | WELLCARE OF GA | GA |