| Organization Name: | PHOEBE WORTH MEDICAL CENTER EMS |
| NPI Number: | 1871665174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACEY FLYNT (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 807 S Isabella St Sylvester |
| State: | GA US |
| Postal Code: | 317917554 |
| Phone Number: | 2297773927 |
| Fax Number: | 2297767062 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 01/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 159-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |