Provider Demographics
NPI:1477830164
Name:MGAS HOLDINGS, LLC
Entity Type:Organization
Organization Name:MGAS HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-508-0685
Mailing Address - Street 1:PO BOX 2710
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31203-2710
Mailing Address - Country:US
Mailing Address - Phone:478-741-4141
Mailing Address - Fax:478-742-0358
Practice Address - Street 1:242 HOLT AVE.
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-1227
Practice Address - Country:US
Practice Address - Phone:478-741-4141
Practice Address - Fax:877-455-7182
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H&CS SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-08
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011-04341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003125241AMedicaid
P01089084OtherMEDICARE RAILROAD
GA003125241AMedicaid