GOLD STAR EMS, LLC


Address: 201 Baldwin Dr, Albany, GA 31707-4366
Phone: 2298863666

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
047-03 GA Transportation Services

Other Provider/Organization Names

Other Name Type Code
Gold Star Ambulance Doing Business As Name - Organization

Office Location

Street Address 201 BALDWIN DR
City ALBANY
State GA
Zip Code 31707-4366

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1871611756 County Judge County of Clinton Ambulance 100 Emergency Services Dr, Albany, KY 42602-9548 2007-03-27
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Competitor

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City ALBANY
Zip Code 31707

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Dataset Information

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.

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