Provider Demographics
NPI:1487935458
Name:ALLIED MEDICAL RESPONSE
Entity type:Organization
Organization Name:ALLIED MEDICAL RESPONSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-808-7579
Mailing Address - Street 1:4586 VALLEY PKWY SE
Mailing Address - Street 2:SUITE O
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-4949
Mailing Address - Country:US
Mailing Address - Phone:404-808-7579
Mailing Address - Fax:
Practice Address - Street 1:4586 VALLEY PKWY SE
Practice Address - Street 2:SUITE O
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-4949
Practice Address - Country:US
Practice Address - Phone:404-808-7579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)