Clark Ambulance Service, Inc.

LBN: Clark Ambulance Service, Inc.
Clark Ambulance Service, Inc. is an health care organization with primary practice located at 117A Commerce Dr , Dallas GA 30132-5025. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Clark Ambulance Service, Inc. can be contacted via phone (770) 445-2151, or through Clark, Samuel Thomas via phone (770) 445-5008.

Contact Information

Primary practice address
117A Commerce Dr Dallas GA 30132-5025
Phone: (770) 445-2151
Fax: (770) 505-7273
Website:
Map and Directions
Authorized official contact:
Name: Clark, Samuel Thomas
Phone: (770) 445-5008

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 110-06 Georgia

Profile Details

NPI number 1760462451
LBN Legal business name Clark Ambulance Service, Inc.
DBA Doing business as
Authorized official Clark, Samuel Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760462451 NPPES
Georgia MEDICAID 00311165A

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