Provider Demographics
NPI:1811611197
Name:BLUE HEART EMS
Entity type:Organization
Organization Name:BLUE HEART EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TURQUOISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-274-3610
Mailing Address - Street 1:PO BOX 18632
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31126-0632
Mailing Address - Country:US
Mailing Address - Phone:770-274-3610
Mailing Address - Fax:770-302-2107
Practice Address - Street 1:1234 BEAVER RUIN RD STE 108
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3102
Practice Address - Country:US
Practice Address - Phone:770-274-3610
Practice Address - Fax:770-302-2107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport