Organization
COMMISSIONER OF ROADS & REVENUE WHEELER COUNTY
Active
Other names
Wheeler County Ems
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA F HOWELL (DIRECTOR)
(912) 423-9692
Entity
Organization
Contact information
Practice address
18 NW 3RD AVENUE, GLENWOOD, GA 30428-3730
(125) 232-7009
(912) 523-5600
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176045A
—
GA
01
—
710474800
DOL -FECA/ BL / ENERGY
GA
01
—
N1207418
WELLCARE OF GA
GA
Enumeration date
02/11/2016
Last updated
04/05/2021
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