Provider Demographics
NPI:1043252729
Name:REGIONAL SERVICES, LTD.
Entity Type:Organization
Organization Name:REGIONAL SERVICES, LTD.
Other - Org Name:SOUTHSTAR AMBULANE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:BA, EMP-P
Authorized Official - Phone:706-738-1911
Mailing Address - Street 1:2451 WHEELESS RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-2641
Mailing Address - Country:US
Mailing Address - Phone:706-738-1911
Mailing Address - Fax:706-738-8090
Practice Address - Street 1:2451 WHEELESS RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-2641
Practice Address - Country:US
Practice Address - Phone:706-738-1911
Practice Address - Fax:706-738-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA121-103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00317265OtherRAILROAD MEDICARE
GAP00317265OtherRAILROAD MEDICARE