Provider Demographics
NPI:1346744943
Name:ACE MEDICAL TRANSPORT LLC.
Entity Type:Organization
Organization Name:ACE MEDICAL TRANSPORT LLC.
Other - Org Name:ACE MEDICAL TRANSPORT, LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ACE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:478-718-2209
Mailing Address - Street 1:PO BOX 27624
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-7624
Mailing Address - Country:US
Mailing Address - Phone:478-718-2209
Mailing Address - Fax:478-259-0343
Practice Address - Street 1:144 PARK ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-5017
Practice Address - Country:US
Practice Address - Phone:478-718-2209
Practice Address - Fax:478-259-0343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAAMB2018029OtherSTATE AMBULANCE LICENSE