Provider Demographics
NPI:1124239645
Name:SIMNET OF GA INC
Entity type:Organization
Organization Name:SIMNET OF GA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:SHERON
Authorized Official - Last Name:CLARITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-483-1822
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-0216
Mailing Address - Country:US
Mailing Address - Phone:770-483-1822
Mailing Address - Fax:770-483-1862
Practice Address - Street 1:1105 N MAIN ST NW
Practice Address - Street 2:STE A
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-4352
Practice Address - Country:US
Practice Address - Phone:770-483-1822
Practice Address - Fax:770-483-1862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered341600000XTransportation ServicesAmbulance
Not Answered343800000XTransportation ServicesSecured Medical Transport (VAN)
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)