Provider Demographics
NPI:1134975238
Name:GOLD CROSS EMS, INC.
Entity type:Organization
Organization Name:GOLD CROSS EMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-434-4018
Mailing Address - Street 1:4328 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-9740
Mailing Address - Country:US
Mailing Address - Phone:706-434-4000
Mailing Address - Fax:706-396-2100
Practice Address - Street 1:1211 UNIVERSITY LN
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-6331
Practice Address - Country:US
Practice Address - Phone:706-434-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLD CROSS EMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport