# CHEROKEE COUNTY BOARD OF COMMISSIONERS

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

## Provider details

- **NPI number:** 1801972625
- **Authorized official:** DAN WEST (CHIEF)
- **Authorized official phone:** (678) 614-8957

## Contact information

- **Practice address:** 150 CHATTIN DR, CANTON, GA 30115-8249
- **Practice address phone:** (678) 614-8957
- **Mailing address:** N2930 STATE ROAD 22, WAUTOMA, WI 54982-5267
- **Mailing address phone:** (920) 787-2291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 028-03 | GA | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 04/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000764233B | — | GA |
| 01 | — | 406590727 | RAILROAD MEDICARE | GA |