TRI-COUNTY EMS, LLC (NPI# 1124131339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124131339 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY EMS, LLC |
| Other Organization Name | TRI-MED EMS, LLC |
| Practice Address |
1842 Washington St Jefferson GA 30549-2668 |
| Mailing Address |
Po Box 1071 Monroe GA 30655-1071 |
| Practice Telephone | 7063875244 |
| Practice Fax Number | 7063674906 |
| Mailing Telephone | 7063875244 |
| Mailing Fax Number | 7063674906 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LEE BURKS (DIRECTOR) |
| Authorized Official Telephone | 7062154884 |
| Authorized Official Credential | EMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS/BLUE SHIELD GA | 52176575 | 01 |
| Other Name | Type Code |
|---|---|
| Tri-Med EMS, LLC | Doing Business As Name - Organization |
| Street Address |
1842 WASHINGTON ST |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982755138 | Jackson County B O C | Ambulance | 86 Gordon St, Jefferson, GA 30549-1528 | 2007-01-15 |
| 1992734818 | Jefferson Volunteer Ambulance | Ambulance | 509 Railroad St, Jefferson, SD 57038 | 2006-07-02 |
| 1013980309 | Greene County Emergency Medical Services, Inc. | Ambulance | 204 N Grimmell Rd, Jefferson, IA 50129-1732 | 2006-02-08 |
| 1114910452 | Jefferson Volunteer Fire Co | Ambulance | 1483 Jefferson Rd, Jefferson, PA 15344-4154 | 2005-08-23 |
| 1588667851 | Jefferson Rural Fire Protection Dist | Ambulance | 189 N Main St, Jefferson, OR 97352 | 2005-05-31 |
| 1780148932 | County of Greene | Ambulance | 204 N Grimmell Rd, Jefferson, IA 50129-1732 | 2019-01-22 |
| 1770697153 | City of Jefferson | Ambulance | 317 S Main St, Jefferson, WI 53549-1892 | 2006-08-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.