| Organization Name: | CITY OF FOREST PARK FIRE EMS |
| NPI Number: | 1255315800 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN E BUCKHOLTS (DIRECTOR CHIEF) |
| Mailing Address: | 4539 Jonesboro Rd Forest Park |
| State: | GA US |
| Postal Code: | 302973542 |
| Phone Number: | 4046082383 |
| Fax Number: | 4046082385 |
| NPI Enumeration Date: | 12/06/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 03105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |