Organization
JACKSON COUNTY B O C
Active
Other names
Jackson County Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BAKER (EMS DIRECTOR)
(706) 367-6356
Entity
Organization
Contact information
Practice address
86 GORDON ST, JEFFERSON, GA 30549-1528
(833) 810-5005
(888) 965-4620
Mailing address
PO BOX 936418, ATLANTA, GA 31193-6418
(833) 810-5005
(888) 965-4620
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
078-02
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055976A
—
GA
01
—
191662
BCBS
GA
01
—
590603182
RAILROAD MEDICARE
GA
01
—
NH540
WELLCARE
GA
Enumeration date
01/15/2007
Last updated
12/26/2017
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