Provider Demographics
NPI:1346448818
Name:HUTCHESON EMS LLC
Entity Type:Organization
Organization Name:HUTCHESON EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-858-2010
Mailing Address - Street 1:PO BOX 2246
Mailing Address - Street 2:
Mailing Address - City:FORT OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:30742-0246
Mailing Address - Country:US
Mailing Address - Phone:706-858-2000
Mailing Address - Fax:706-858-2732
Practice Address - Street 1:100 GROSS CRESCENT CIR
Practice Address - Street 2:
Practice Address - City:FORT OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:30742-3643
Practice Address - Country:US
Practice Address - Phone:706-858-2000
Practice Address - Fax:706-858-2732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUTCHESON MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-06
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA146093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport