Organization
LANIER COUNTY AMBULANCE SERVICE
Active
Other names
Lanier County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL GINTY RN (ADMINISTRATOR)
(229) 482-8402
Entity
Organization
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1006
(229) 482-8401
(229) 482-8539
Mailing address
PO BOX 5888, ATTN: PFS DEPT., VALDOSTA, GA 31603-5888
(229) 482-8402
(229) 482-8539
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
08601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001163A
—
GA
05
—
000001163B
—
GA
05
—
000001163H
—
GA
01
—
HOSP110
CAHABA
GA
Enumeration date
05/14/2007
Last updated
05/17/2011
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