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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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