Healthcare Provider Details

I. General information

NPI: 1013745728
Provider Name (Legal Business Name): MEBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W WASHINGTON AVE STE 134
HINESVILLE GA
31313-2544
US

IV. Provider business mailing address

100 BULL ST STE 200
SAVANNAH GA
31401-3378
US

V. Phone/Fax

Practice location:
  • Phone: 912-633-9080
  • Fax:
Mailing address:
  • Phone: 912-633-9080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA ANTHONY
Title or Position: OWNER
Credential:
Phone: 912-633-9080