Organization
JENKINS COUNTY BOARD OF COMMISSIONERS
Active
Other names
JENKINS COUNTY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J. CATES (ADMINISTRATOR)
(478) 982-2563
Entity
Organization
Contact information
Practice address
611 E WINTHROPE AVE, MILLEN, GA 30442-1833
(478) 982-2563
(478) 982-4750
Mailing address
PO BOX 797, MILLEN, GA 30442-0797
(478) 982-2563
(478) 982-4750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
08201
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10070315
—
GA
01
—
85030059AA
MEDICARE
GA
Enumeration date
07/25/2007
Last updated
07/25/2007
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