Clark Ems Ambulance Service in Dallas - Emergency Medical Technician, Intermediate
Clark Ems Ambulance Service - NPI 1952498776
Clark Ems Ambulance Service is a Emergency Medical Technician, Intermediate in Dallas, Georgia. Clark Ems Ambulance Service practices all healthcare services and medical treatments related to Emergency Medical Technician, Intermediate. The NPI Number for Clark Ems Ambulance Service is 1952498776. The last update date is 2013-02-01.
Clark Ems Ambulance Service's current location address is Po Box 1789, Dallas, Georgia. You can contact this provider via phone number 7704455008 and fax number 7709432855. The mailing address for Clark Ems Ambulance Service is Po Box 1789, Dallas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Ems Ambulance Service |
|---|---|
| Address | Po Box 1789, Dallas, Georgia |
| Phone Number | 7704455008 |
| Fax Number | 7709432855 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark T Samuel |
| Credentials | OWNER |
| Telephone Number | 7704455008 |
NPI Number Detail
| NPI Number | 1952498776 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2013-02-01 |
Provider Mailing Address Detail
| Address | Po Box 1789 |
|---|---|
| City | Dallas |
| State | Georgia (GA) |
| Post Code | 30132 |
| Phone Number | 7704455008 |
| Fax Number | 7709432855 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Technician, Intermediate |
|---|---|
| Taxonomy | 146M00000X |
| Licence No | 11006 |
|
Definition: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590014898 | GA | RAILROAD MEDICARE | |
| 00311165A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clark Ems Ambulance Service by the Centers for Medicare & Medicaid Services (CMS)?
The Clark Ems Ambulance Service has been assigned the NPI (National Provider Identifier) 1952498776. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Clark Ems Ambulance Service is physically located?
The Clark Ems Ambulance Service is situated at the following address: Po Box 1789, Dallas, GA 30132.
What is the Clark Ems Ambulance Service's specialty and taxonomy code?
The Clark Ems Ambulance Service's specialty is Emergency Medical Technician, Intermediate, and the corresponding taxonomy code is 146M00000X.
On what date did the Clark Ems Ambulance Service receive the assignment of its 1952498776 from the Centers for Medicare & Medicaid Services?
The Clark Ems Ambulance Service was issued its 1952498776 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information regarding Clark Ems Ambulance Service, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clark Ems Ambulance Service, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-01.
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