| Organization Name: | 1ST CARE AMBULANCE SERVICE LLC |
| NPI Number: | 1205284031 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEITH LOWE (MANAGER) |
| Mailing Address: | 531 Forest Pkwy 240 Forest Park |
| State: | GA US |
| Postal Code: | 302972184 |
| Phone Number: | 4043661367 |
| Fax Number: | 4043666367 |
| NPI Enumeration Date: | 06/02/2016 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |