MEDICARE: BALDWIN EMERGENCY MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1891267084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALDWIN EMERGENCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 848
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-0848
Country	:	US
Telephone Number	:	251-421-7831
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4113
Country	:	US
Telephone Number	:	251-421-7831
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PARAMEDIC
Name	:	MR. CHARLES WAYNE GANEY JR.
Credential	:
Telephone Number	:	251-421-7831

Provider Enumeration Date	:	12/28/2018
Last Update Date	:	12/28/2018

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