Organization Name: | CLARK AMBULANCE SERVICE, INC. |
NPI Number: | 1760462451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL THOMAS CLARK (CEO/OWNER) |
Mailing Address: | 117a Commerce Dr Dallas |
State: | GA US |
Postal Code: | 301325025 |
Phone Number: | 7704452151 |
Fax Number: | 7705057273 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 341600000X |
License Number: | 110-06 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |