Organization
CLAY COUNTY BOARD OF COMMISSIONERS
Active
Other names
Clay County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TREY ANDERSON (CHAIRMAN OF THE BOC)
(229) 768-3644
Entity
Organization
Contact information
Practice address
103 COMMERCE ST W, FORT GAINES, GA 39851-3623
(229) 768-3644
Mailing address
103 COMMERCE ST W, FORT GAINES, GA 39851-3623
(229) 768-3644
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
030-02
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000361435A
—
GA
01
—
52256006-001
BLUE CROSS
GA
Enumeration date
11/01/2006
Last updated
05/16/2013
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