GOLD STAR EMS, LLC (NPI# 1497075279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497075279 |
Entity Type | Organization |
Organization Name | GOLD STAR EMS, LLC |
Other Organization Name | GOLD STAR AMBULANCE |
Practice Address |
201 Baldwin Dr Albany GA 31707-4366 |
Mailing Address |
Po Box 72282 Albany GA 31708-2282 |
Practice Telephone | 2298863666 |
Practice Fax Number | 8663961173 |
Mailing Telephone | 2298863666 |
Mailing Fax Number | 8663961173 |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |
Authorized Official Name | TODD HOCKMAN (OWNER) |
Authorized Official Telephone | 2298863666 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
047-03 | GA | Transportation Services |
Other Name | Type Code |
---|---|
Gold Star Ambulance | Doing Business As Name - Organization |
Street Address |
201 BALDWIN DR |
City | ALBANY |
State | GA |
Zip Code | 31707-4366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
Find all providers in zip 31707 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.