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Organization
PRO CARE EMS, LLC
Active
Organization
PRO CARE EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY THRASH (CEO/OWNER/EMT)
(678) 240-2860
Entity
Organization
Contact information
Practice address
5155 SUGARLOAF PKWY STE G-K, LAWRENCEVILLE, GA 30043-7858
(678) 240-2860
(678) 248-9178
Mailing address
PO BOX 490370, LAWRENCEVILLE, GA 30049-0007
(678) 240-2860
(678) 248-9178
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
067-13
GA
341600000X
Ambulance
Primary
067-13
GA
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231897433A
—
GA
01
—
N335019
WELLCARE MEDICARE
—
01
—
N471210
WELLCARE MEDICAID
—
Enumeration date
07/21/2005
Last updated
12/16/2019
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