Organization
CLARK AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL THOMAS CLARK (CEO/OWNER)
(770) 445-5008
Entity
Organization
Contact information
Practice address
117A COMMERCE DR, DALLAS, GA 30132-5025
(770) 445-2151
(770) 505-7273
Mailing address
PO BOX 1789, DALLAS, GA 30132-0031
(770) 445-5008
(770) 505-7273
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
110-06
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311165A
—
GA
Enumeration date
01/19/2006
Last updated
04/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us