MEDICARE: HART COUNTY EMERGENCY MEDICAL SERVICE

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	146L00000X	Paramedic	073-01	GA

General Provider Information

NPI Number	:	1700877016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HART COUNTY EMERGENCY MEDICAL SERVICE

Provider Business Mailing Address
First Line	:	800 CHANDLER ST
Second Line	:
City	:	HARTWELL
State	:	GA
Zip	:	30643-1117
Country	:	US
Telephone Number	:	706-376-3930
Fax Number	:	706-856-5316

Provider Business Practice Location Address
First Line	:	800 CHANDLER ST
Second Line	:
City	:	HARTWELL
State	:	GA
Zip	:	30643-1117
Country	:	US
Telephone Number	:	706-376-3930
Fax Number	:	706-856-5316

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. TERRELL D PARTAIN
Credential	:	EMT-P
Telephone Number	:	706-376-3930

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	08/22/2020

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