Provider Demographics
NPI:1457997538
Name:ACCOMPANY MEDICAL RESPONSE CO
Entity Type:Organization
Organization Name:ACCOMPANY MEDICAL RESPONSE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDILAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-526-0637
Mailing Address - Street 1:5036 SNAPFINGER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4064
Mailing Address - Country:US
Mailing Address - Phone:470-526-0637
Mailing Address - Fax:
Practice Address - Street 1:5036 SNAPFINGER WOODS DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4064
Practice Address - Country:US
Practice Address - Phone:470-526-0637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport