Provider Demographics
NPI:1891896684
Name:CITY OF MORROW
Entity Type:Organization
Organization Name:CITY OF MORROW
Other - Org Name:MORROW FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-961-4008
Mailing Address - Street 1:1500 MORROW RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1654
Mailing Address - Country:US
Mailing Address - Phone:770-961-4008
Mailing Address - Fax:770-960-1631
Practice Address - Street 1:1500 MORROW RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1654
Practice Address - Country:US
Practice Address - Phone:770-961-4008
Practice Address - Fax:770-960-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA590007626OtherRAILROAD MEDICARE
GA000393522AMedicaid
GA590007626OtherRAILROAD MEDICARE