KACZOR ENTERPRISES INC (NPI# 1194140103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194140103 |
| Entity Type | Organization |
| Organization Name | KACZOR ENTERPRISES INC |
| Other Organization Name | U. S. AMBULANCE EMS |
| Practice Address |
55 Dellmonte Rd Douglas GA 31535-6135 |
| Mailing Address |
2236 Mckinnon Rd Douglas GA 31535-3102 |
| Practice Telephone | 9125923643 |
| Practice Fax Number | 9123931011 |
| Mailing Telephone | 9125923643 |
| Mailing Fax Number | 9123931011 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | JOHN R KEANON (CEO) |
| Authorized Official Telephone | 9125923643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
034-02 | GA | Transportation Services |
| Other Name | Type Code |
|---|---|
| U. S. Ambulance EMS | Doing Business As Name - Organization |
| Street Address |
55 DELLMONTE RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31535-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740423268 | Lacey N Yeomans | Speech-Language Pathologist | 3891 Quail Hollow Village, Douglas, GA 31535 | 2009-04-14 |
| 1689946808 | Dorothy Dixon | Community/Behavioral Health | 552 Creekwood Rd, Douglas, GA 31535-1918 | 2012-02-03 |
| 1912549353 | Monica Sherise Dill | Case Manager/Care Coordinator | 566 Forest Hills Dr, Douglas, GA 31535-2420 | 2019-10-16 |
| 1881924066 | Air Evac Ems Inc. | Ambulance | 195 Thomas Frier Dr, Douglas, GA 31535-4011 | 2010-01-11 |
| 1407491467 | Aretha Mizell | Contractor | 925 Kamera Rd, Douglas, GA 31535-4345 | 2019-11-14 |
| 1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
| 1164049615 | Bonnie Dee Whitfield | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-07-01 |
| 1851991095 | Smart Choice Nutrition | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-10-27 |
| 1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| Find all providers in zip 31535 | ||||
| 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 |
|---|---|---|---|---|
| 1033263447 | Converse County Ambulance | Ambulance | 107 N 5th St, Suite 114, Douglas, WY 82633-2423 | 2007-01-22 |
| 1619914033 | City of Douglas | Ambulance | 1400 E 10th St, Douglas, AZ 85607-2308 | 2006-06-02 |
| 1568452316 | Village of Douglas | Ambulance | 104 Main Street, Douglas, NE 68344 | 2005-10-24 |
| 1467452623 | Arizona Ambulance of Douglas, Inc. | Ambulance | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2005-07-28 |
| 1053451526 | Town of Douglas | Ambulance | 64 Main Street, Douglas, MA 01516 | 2007-02-07 |
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| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
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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.