NPI 1033469598

Transport America Ambulance Service LLC

Organisation Land Ambulance Vidalia, GA

Practice location

Address: 603 Brogdon St, Vidalia, GA 30474-6031
Phone: (902) 805-2007
Fax: (912) 805-2004
Mailing address: PO Box 1872, Vidalia, GA 30475-1872

Authorised official

Name: Lisa Darlene Flanagan
Title: Cfo
Phone: (912) 805-2006

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 076-02 (GA)

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Registry record

NPI: 1033469598
Entity type: Organization
NPI issued: 12 Sep 2012
Record last updated: 24 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.