Provider Demographics
NPI:1528378643
Name:HEARTLAND EMS INC
Entity Type:Organization
Organization Name:HEARTLAND EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:W.
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-934-1133
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:COCHRAN
Mailing Address - State:GA
Mailing Address - Zip Code:31014-0636
Mailing Address - Country:US
Mailing Address - Phone:478-934-1133
Mailing Address - Fax:478-934-0730
Practice Address - Street 1:2903 KEMBLE AVE
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4712
Practice Address - Country:US
Practice Address - Phone:478-934-1133
Practice Address - Fax:478-934-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA012-043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport