Deep South Ambulance Service, Inc

LBN: Deep South Ambulance Service, Inc
Deep South Ambulance Service, Inc is an health care organization with primary practice located at 37 Peachtree Street , Lakeland GA 31635-0067. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Deep South Ambulance Service, Inc can be contacted via phone (229) 482-2899, or through Pruitt, John Wesley via phone (229) 482-2899.

Contact Information

Primary practice address
37 Peachtree Street Lakeland GA 31635-0067
Phone: (229) 482-2899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, John Wesley
Phone: (229) 482-2899

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 086-02 Georgia

Profile Details

NPI number 1073662805
LBN Legal business name Deep South Ambulance Service, Inc
DBA Doing business as
Authorized official Pruitt, John Wesley
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Jan 15th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073662805 NPPES
Georgia MEDICAID 00432528A

Popular Providers