Provider Demographics
NPI:1497746036
Name:TOWNS COUNTY EMS
Entity Type:Organization
Organization Name:TOWNS COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-896-6254
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:HIAWASSEE
Mailing Address - State:GA
Mailing Address - Zip Code:30546-0629
Mailing Address - Country:US
Mailing Address - Phone:706-776-2761
Mailing Address - Fax:706-776-2793
Practice Address - Street 1:1400 FULLER CIR
Practice Address - Street 2:
Practice Address - City:YOUNG HARRIS
Practice Address - State:GA
Practice Address - Zip Code:30582-2336
Practice Address - Country:US
Practice Address - Phone:706-896-6254
Practice Address - Fax:706-864-1069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA119-063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000365395AMedicaid