UNITED MEDICAL RESPONSE LLC (NPI# 1982836581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982836581 |
| Entity Type | Organization |
| Organization Name | UNITED MEDICAL RESPONSE LLC |
| Practice Address |
2425 Jason Industrial Pkwy Winston GA 30187 |
| Mailing Address |
515 E Crossville Rd Suite 170 Roswell GA 30075-3087 |
| Practice Telephone | 7706726434 |
| Practice Fax Number | 2059934090 |
| Mailing Telephone | 7702991516 |
| Mailing Fax Number | 7702991518 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | MR. CHARLES DERRICK ISHAM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7708662120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
GA | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784509 | United Medical Response LLC | Ambulance | 104 W Main St, Salem, IL 62881-1518 | 2018-09-19 |
| Street Address |
2425 JASON INDUSTRIAL PKWY |
| City | WINSTON |
| State | GA |
| Zip Code | 30187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275745 | Maple Clinic for Speech and Language LLC | Speech-Language Pathologist | 7824 Tyree Rd, Winston, GA 30187-1230 | 2017-10-02 |
| 1477063600 | Kelly Gawel | Speech-Language Pathologist | 7824 Tyree Rd, Winston, GA 30187-1230 | 2017-10-02 |
| 1114430097 | Richard Anthony Bell II | Registered Nurse | 7940 Hannah Rd, Winston, GA 30187-1237 | 2017-11-14 |
| 1356509376 | Foroogh Elguindi | Counselor | 5123 Daniell Mill Road, Winston, GA 30187-1362 | 2008-05-27 |
| 1912147539 | Reginald Gary Woodell | Dentist | 7571 Highway 78, Winston, GA 30187-1449 | 2009-02-22 |
| 1588214100 | Patricia Wynn | Contractor | 6822 Cowan Mill Rd, Winston, GA 30187-1533 | 2019-09-16 |
| 1336534924 | Leondria Taty | Nurse Practitioner | 2929 Post Rd, Winston, GA 30187-1537 | 2015-04-01 |
| 1841651254 | Amelia St John | Registered Nurse | 3644 Mason Ridge Dr, Winston, GA 30187-1578 | 2016-03-11 |
| 1952879017 | Deborah Jones | Social Worker | 3599 Falls Trl, Winston, GA 30187-1595 | 2018-11-07 |
| 1255737508 | Wendy Flory | Physical Therapy Assistant | 7235 Hummingbird Ln, Winston, GA 30187-1717 | 2014-11-14 |
| Find all providers in zip 30187 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
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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.