Provider Demographics
NPI:1376087841
Name:ATS AMBULANCE SERVICES
Entity Type:Organization
Organization Name:ATS AMBULANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-550-3529
Mailing Address - Street 1:301 CLUB VILLA CT STE 8
Mailing Address - Street 2:
Mailing Address - City:KATHLEEN
Mailing Address - State:GA
Mailing Address - Zip Code:31047-5434
Mailing Address - Country:US
Mailing Address - Phone:478-342-5480
Mailing Address - Fax:478-449-8388
Practice Address - Street 1:301 CLUB VILLA CT STE 8
Practice Address - Street 2:
Practice Address - City:KATHLEEN
Practice Address - State:GA
Practice Address - Zip Code:31047-5434
Practice Address - Country:US
Practice Address - Phone:478-342-5480
Practice Address - Fax:478-449-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-18
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance