Provider Demographics
NPI:1942310800
Name:FRANKLIN COUNTY EMS
Entity Type:Organization
Organization Name:FRANKLIN COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-384-5598
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30639
Mailing Address - Country:US
Mailing Address - Phone:706-384-5598
Mailing Address - Fax:706-384-4840
Practice Address - Street 1:9267 LAVONIA RD
Practice Address - Street 2:
Practice Address - City:CARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30521
Practice Address - Country:US
Practice Address - Phone:706-384-5598
Practice Address - Fax:706-384-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000317545AMedicaid
GA00317545AMedicaid