# GRADY MEMORIAL HOSPITAL CORPORATION

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

## Provider details

- **NPI number:** 1891966578
- **Authorized official:** MS. OZZIE GILBERT (VP FINANCE)
- **Authorized official phone:** (404) 616-1796

## Contact information

- **Practice address:** 80 JESSE HILL JR DRIVE SE, BOX 26042, ATLANTA, GA 30303-3050
- **Practice address phone:** (404) 616-8880
- **Mailing address:** 80 JESSE HILL JR DRIVE SE, BOX 26042, ATLANTA, GA 30303-3050
- **Mailing address phone:** (404) 616-8880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 060-30 | GA | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 05/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000855B | — | GA |