Organization
DEPLOYED TACTICS
Active
Other names
Tactical 1st Response
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON BLAIR HOLMES EMT (CHIEF OF OPERATIONS)
(202) 655-8161
Entity
Organization
Contact information
Practice address
40 JUDY CT PH A, STOCKBRIDGE, GA 30281-3876
(202) 655-8161
Mailing address
40 JUDY CT # B, STOCKBRIDGE, GA 30281-3876
(202) 655-8161
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057070191
DL
GA
Enumeration date
06/16/2022
Last updated
06/16/2022
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