Provider Demographics
NPI:1851352561
Name:COUNTY OF MACON
Entity Type:Organization
Organization Name:COUNTY OF MACON
Other - Org Name:MACON COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-349-2067
Mailing Address - Street 1:104 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3045
Mailing Address - Country:US
Mailing Address - Phone:828-349-2067
Mailing Address - Fax:
Practice Address - Street 1:104 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3045
Practice Address - Country:US
Practice Address - Phone:828-349-2067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC278063Medicare PIN