Provider Demographics
NPI:1336995026
Name:CLASSIC EMS INC
Entity Type:Organization
Organization Name:CLASSIC EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BIBI
Authorized Official - Middle Name:AKLIMA
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-819-6488
Mailing Address - Street 1:442 DUCK RD
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-2803
Mailing Address - Country:US
Mailing Address - Phone:404-819-6488
Mailing Address - Fax:
Practice Address - Street 1:442 DUCK RD
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-2803
Practice Address - Country:US
Practice Address - Phone:404-819-6488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport