Provider Demographics
NPI:1225193048
Name:BARROW COUNTY BOARD OF COMMISSIONERS
Entity Type:Organization
Organization Name:BARROW COUNTY BOARD OF COMMISSIONERS
Other - Org Name:BARROW COUNTY EMERGENCY MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS BILLING ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-868-8111
Mailing Address - Street 1:30 N BROAD ST
Mailing Address - Street 2:P.O. BOX 1256
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-1962
Mailing Address - Country:US
Mailing Address - Phone:770-868-8111
Mailing Address - Fax:770-868-8666
Practice Address - Street 1:222 PLESANT HILL CHURCH RD NE
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-3795
Practice Address - Country:US
Practice Address - Phone:770-868-8111
Practice Address - Fax:770-868-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007-05146L00000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA7102000GA30680OtherBCBS MICHIGAN
GA000236409AMedicaid
GA52197213OtherBLUE CROSS BLUE SHIELD
GA7102000GA30680OtherBCBS MICHIGAN