SCHLEY COUNTY COMMISSIONER; NPI #1205932381

Contact Information

SCHLEY COUNTY COMMISSIONER

106 NORTH PECAN STREET
ELLAVILLE, GA 31806

Phone: 229-942-3375
Fax: 229-937-5880
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SCHLEY COUNTY COMMISSIONER

NPI Number 1205932381

LBN Legal business name SCHLEY COUNTY COMMISSIONER

Authorized official DUANE MONTGOMERY - (EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/15/2006

Last updated 07/08/2013 - About 13 years ago

Identifiers

GA	License #	12301
GA	Medicaid	000207611A
GA	Other	85033859AA	MEDICARE PTAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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