Organization
STEPHENS COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HESTER (CEO)
(706) 282-4200
Entity
Organization
Contact information
Practice address
163 HOSPITAL DR, TOCCOA, GA 30577-6820
(706) 282-4363
Mailing address
163 HOSPITAL DR, TOCCOA, GA 30577-6820
(706) 282-4363
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12701
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001834B
—
GA
05
—
1106862
—
GA
05
—
QAB032
—
GA
Enumeration date
09/12/2007
Last updated
06/18/2020
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