MEDICARE: ACE MEDICAL TRANSPORT LLC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	341600000X	Ambulance
2	343800000X	Secured Medical Transport (VAN)
3	343900000X	Non-emergency Medical Transport (VAN)
4	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AMB2018029	OTHER	GA	STATE AMBULANCE LICENSE

General Provider Information

NPI Number	:	1346744943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE MEDICAL TRANSPORT LLC.

Provider Business Mailing Address
First Line	:	PO BOX 27624
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31221-7624
Country	:	US
Telephone Number	:	478-718-2209
Fax Number	:	478-259-0343

Provider Business Practice Location Address
First Line	:	135 LAMAR ST
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-3007
Country	:	US
Telephone Number	:	478-718-2209
Fax Number	:	478-259-0343

Authorized Official
Title or Position	:	OWNER
Name	:	ACE JADEN MORRISSEY
Credential	:
Telephone Number	:	478-718-2209

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	05/29/2026

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Directions to “ACE MEDICAL TRANSPORT LLC. ” Practice Location

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