Organization
ADVENTIST HEALTH SYSTEM GEORGIA INC
Active
Other names
AdventHealth Gordon EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SELF (PRESIDENT/CEO)
(706) 879-4710
Entity
Organization
Contact information
Practice address
105 WILLOWBROOK WAY SE, CALHOUN, GA 30701-1404
(706) 602-7800
(706) 624-5015
Mailing address
PO BOX 12938, CALHOUN, GA 30703-7013
(706) 602-7800
(706) 624-5015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
064-08
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000833D
—
GA
Enumeration date
07/14/2006
Last updated
02/21/2023
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