BOARD OF COMMISSIONERS OF FAYETTE COUNTY (NPI# 1790880474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790880474 |
| Entity Type | Organization |
| Organization Name | BOARD OF COMMISSIONERS OF FAYETTE COUNTY |
| Other Organization Name | FAYETTE COUNTY EMS |
| Practice Address |
140 Stonewall Ave W Fayetteville GA 30214-1520 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 7704611321 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707448642 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | MR. STEVE FOLDEN (EMS CAPTAIN) |
| Authorized Official Telephone | 7703055173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 05601 | GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000002648A | 05 | |
| GA | MEDICARE PTAN | 85035559AA | 01 |
| Other Name | Type Code |
|---|---|
| FAYETTE COUNTY EMS | Doing Business As Name - Organization |
| Street Address |
140 STONEWALL AVE W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972773 | Fayette County Health Department | Public Health or Welfare | 140 Stonewall Ave W, Suite 107, Fayetteville, GA 30214-1520 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861981698 | Patriot Emergency Medical Services LLC | Ambulance | 1572 Highway 85 N Ste 507, Fayetteville, GA 30214 | 2018-05-07 |
| 1326408071 | Advance 1 Ambulance LLC | Ambulance | 315 Industrial Way, A, Fayetteville, GA 30215-8265 | 2016-02-23 |
| 1073637864 | Life Moves Inc | Ambulance | 16362 Harmon Rd, Fayetteville, AR 72704-9371 | 2007-03-18 |
| 1396847166 | Central Emergency Medical Service, Inc. | Ambulance | 645 S School Ave, Fayetteville, AR 72701-6470 | 2006-09-02 |
| 1033107586 | Village of Fayetteville | Ambulance | 425 E Genesse St, Fayetteville, NY 13066 | 2005-10-10 |
| 1598309817 | 1st Choice Ambulance Service, LLC | Ambulance | 185 Bradford Sq Ste C, Fayetteville, GA 30215-1932 | 2019-10-30 |
| 1235542333 | Lincoln Medical Center Ambulance Service | Ambulance | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2014-06-05 |
| 1972767630 | Washington County Regional Ambulance Authority | Ambulance | 645 S School Ave, Fayetteville, AR 72701-6470 | 2008-07-11 |
| 1376670174 | Sheltering Arms Inc. | Ambulance | 122 2nd Ave, Fayetteville, WV 25840-1035 | 2007-02-27 |
| 1649240219 | Fayetteville Volunteer Fire Department | Ambulance | 101 W Main St, Fayetteville, PA 17222-1428 | 2006-01-25 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on BOARD OF COMMISSIONERS OF FAYETTE COUNTY.
| 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.