Organization
HOSPITAL AUTHORITY OF BEN HILL
Active
Other names
DMC EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WYNN (CEO)
(229) 424-7258
Entity
Organization
Contact information
Practice address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7100
Mailing address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7100
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003307948A
—
GA
01
—
EMS2024012
STATE LICENSE NUMBER
GA
Enumeration date
03/27/2024
Last updated
12/11/2024
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