Provider Demographics
NPI:1861960106
Name:PRIME CARE EMS LLC
Entity type:Organization
Organization Name:PRIME CARE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-578-4534
Mailing Address - Street 1:7184 SOUTHLAKE PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260
Mailing Address - Country:US
Mailing Address - Phone:404-578-4534
Mailing Address - Fax:678-691-7408
Practice Address - Street 1:7184 SOUTHLAKE PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260
Practice Address - Country:US
Practice Address - Phone:404-578-4534
Practice Address - Fax:678-691-7408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport