Provider Demographics
NPI:1942243605
Name:OGLETHORPE COUNTY BOARD OF COMMISSIONERS
Entity Type:Organization
Organization Name:OGLETHORPE COUNTY BOARD OF COMMISSIONERS
Other - Org Name:OGLETHORPE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLTENSMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-743-8850
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30648
Mailing Address - Country:US
Mailing Address - Phone:706-743-8850
Mailing Address - Fax:706-743-5393
Practice Address - Street 1:892 ATHENS ROAD
Practice Address - Street 2:
Practice Address - City:CRAWFORD
Practice Address - State:GA
Practice Address - Zip Code:30630
Practice Address - Country:US
Practice Address - Phone:706-743-8850
Practice Address - Fax:706-743-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA109-013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000193443BMedicaid
GA000193443AMedicaid
GA01993443AMedicaid