Organization
GRADY EMS LLC
Active
Parent organization
GRADY MEMORIAL HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Authorized official
KIMBERLY D MYERS (REVENUE CYCLE ANALYST)
(404) 616-7441
Entity
Organization
Contact information
Practice address
745 MEMORIAL DR SE, ATLANTA, GA 30316-1185
(404) 616-8880
Mailing address
PO BOX 936443, ATLANTA, GA 31193-0001
(401) 616-7441
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
060-74
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-74
LICENSE NUMBER
GA
01
—
060MR20
LICENSE NUMBER
GA
Enumeration date
12/09/2016
Last updated
02/20/2020
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