Healthcare Provider Details

I. General information

NPI: 1932260007
Provider Name (Legal Business Name): PICKENS COUNTY GOVERNMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 UPPER SALEM CHURCH ROAD
JASPER GA
30143-8605
US

IV. Provider business mailing address

1266 E CHURCH ST STE 180
JASPER GA
30143-1908
US

V. Phone/Fax

Practice location:
  • Phone: 706-253-8811
  • Fax: 706-253-8802
Mailing address:
  • Phone: 706-253-8811
  • Fax: 706-253-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number112-04
License Number StateGA

VIII. Authorized Official

Name: FAYE H HARVEY
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 706-253-8810