Provider Demographics
NPI:1245874254
Name:INSPIRATIONAL AMBULANCE SERVICE, LLC
Entity type:Organization
Organization Name:INSPIRATIONAL AMBULANCE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:706-872-9857
Mailing Address - Street 1:202 THOMSON HWY STE C
Mailing Address - Street 2:
Mailing Address - City:WRENS
Mailing Address - State:GA
Mailing Address - Zip Code:30833-1215
Mailing Address - Country:US
Mailing Address - Phone:706-547-0840
Mailing Address - Fax:706-547-0845
Practice Address - Street 1:202 THOMSON HWY STE C
Practice Address - Street 2:
Practice Address - City:WRENS
Practice Address - State:GA
Practice Address - Zip Code:30833-1215
Practice Address - Country:US
Practice Address - Phone:706-547-0840
Practice Address - Fax:706-547-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport