# BOARD OF COMMISSIONERS OF FAYETTE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAYETTE COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790880474
- **Authorized official:** MR. STEVE FOLDEN (EMS CAPTAIN)
- **Authorized official phone:** (770) 305-5173

## Contact information

- **Practice address:** 140 STONEWALL AVE W, FAYETTEVILLE, GA 30214-1520
- **Practice address phone:** (770) 305-5414
- **Practice address fax:** (770) 305-5190
- **Mailing address:** PO BOX 9150, PADUCAH, KY 42002-9150
- **Mailing address phone:** (270) 744-9600
- **Mailing address fax:** (270) 744-8642

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 10/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000002648A | — | GA |