Provider Demographics
NPI:1205284031
Name:1ST CARE AMBULANCE SERVICE LLC
Entity type:Organization
Organization Name:1ST CARE AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:JR
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:678-463-8352
Mailing Address - Street 1:531 FOREST PKWY
Mailing Address - Street 2:240
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2184
Mailing Address - Country:US
Mailing Address - Phone:404-366-1367
Mailing Address - Fax:404-608-9367
Practice Address - Street 1:510 PLAZA DR STE 1810
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-6021
Practice Address - Country:US
Practice Address - Phone:404-366-1367
Practice Address - Fax:404-366-6367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport