Provider Demographics
NPI:1649558768
Name:UNION GENERAL AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:UNION GENERAL AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-781-1805
Mailing Address - Street 1:94 WEAVER RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3133
Mailing Address - Country:US
Mailing Address - Phone:706-439-6493
Mailing Address - Fax:706-439-6452
Practice Address - Street 1:94 WEAVER RD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3133
Practice Address - Country:US
Practice Address - Phone:706-439-6493
Practice Address - Fax:706-439-6452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport