Provider Demographics
NPI:1790284123
Name:MEDWAY EMERGENCY MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:MEDWAY EMERGENCY MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-954-2506
Mailing Address - Street 1:4486 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1326
Mailing Address - Country:US
Mailing Address - Phone:478-954-2506
Mailing Address - Fax:
Practice Address - Street 1:4486 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1326
Practice Address - Country:US
Practice Address - Phone:478-954-2506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport