Provider Demographics
NPI:1962487942
Name:MONROE COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:MONROE COUNTY COMMISSIONERS
Other - Org Name:MONROE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY CLERK/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-994-7000
Mailing Address - Street 1:507 MONTPELIER AVE
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:GA
Mailing Address - Zip Code:31029-8733
Mailing Address - Country:US
Mailing Address - Phone:478-994-7004
Mailing Address - Fax:478-992-5058
Practice Address - Street 1:693 JULIETTE RD
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:GA
Practice Address - Zip Code:31029-3018
Practice Address - Country:US
Practice Address - Phone:478-933-1633
Practice Address - Fax:478-993-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulanceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000354208AMedicaid
GA85056659AAMedicare PIN