# MOUNTAIN MEDICAL TRANSPORT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649512815
- **Authorized official:** ZACHARY PHILYAW (CEO)
- **Authorized official phone:** (706) 489-9199

## Contact information

- **Practice address:** 5282 HIGHWAY 129 SOUTH, CLEVELAND, GA 30528-6761
- **Practice address phone:** (706) 489-9199
- **Mailing address:** PO BOX 1792, CLEVELAND, GA 30528-0033
- **Mailing address phone:** (706) 489-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 154-04 | GA | Yes |

## Other

- **Enumeration date:** 03/26/2013
- **Last updated:** 04/27/2015