# PRIME CARE EMS LLC

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

## Provider details

- **NPI number:** 1861960106
- **Authorized official:** VICKIE PUGH (BILLING MANAGER)
- **Authorized official phone:** (404) 578-4534

## Contact information

- **Practice address:** 7184 SOUTHLAKE PKWY, SUITE C, MORROW, GA 30260
- **Practice address phone:** (404) 578-4534
- **Practice address fax:** (678) 691-7408
- **Mailing address:** 7184 SOUTHLAKE PKWY, SUITE C, MORROW, GA 30260
- **Mailing address phone:** (404) 578-4534
- **Mailing address fax:** (678) 691-7408

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 11/05/2018