Provider Demographics
NPI:1093737355
Name:BAKER COUNTY EMERGENCY MEDICAL SERVICE
Entity Type:Organization
Organization Name:BAKER COUNTY EMERGENCY MEDICAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BELINC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-734-3000
Mailing Address - Street 1:PO BOX 683
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:GA
Mailing Address - Zip Code:39870-0683
Mailing Address - Country:US
Mailing Address - Phone:229-734-3000
Mailing Address - Fax:229-734-8822
Practice Address - Street 1:129 HILLCREST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:GA
Practice Address - Zip Code:39870
Practice Address - Country:US
Practice Address - Phone:229-734-3008
Practice Address - Fax:229-734-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004-02146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty