Provider Demographics
NPI:1316455173
Name:343 AMBULANCE SERVICE LLC
Entity type:Organization
Organization Name:343 AMBULANCE SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WHITFIELD
Authorized Official - Last Name:SCHONAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-973-8451
Mailing Address - Street 1:1835 MACON RD
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:GA
Mailing Address - Zip Code:31069-2212
Mailing Address - Country:US
Mailing Address - Phone:478-951-3341
Mailing Address - Fax:
Practice Address - Street 1:1835 MACON RD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:GA
Practice Address - Zip Code:31069-2212
Practice Address - Country:US
Practice Address - Phone:478-951-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport