Provider Demographics
NPI:1881859114
Name:CALHOUN COUNTY COMMISSIONER OF ROADS AND REVENUES
Entity Type:Organization
Organization Name:CALHOUN COUNTY COMMISSIONER OF ROADS AND REVENUES
Other - Org Name:CALHOUN COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIR
Authorized Official - Prefix:
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-310-2031
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:GA
Mailing Address - Zip Code:39866-0226
Mailing Address - Country:US
Mailing Address - Phone:229-849-4835
Mailing Address - Fax:229-849-4835
Practice Address - Street 1:111 SCHOOL STREET
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:GA
Practice Address - Zip Code:39866-0111
Practice Address - Country:US
Practice Address - Phone:229-849-4835
Practice Address - Fax:229-849-4835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport