Healthcare Provider Details

I. General information

NPI: 1154326445
Provider Name (Legal Business Name): TOWN OF ARITION RESCUE SQUAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 E MAIN ST
ARITON AL
36311-5025
US

IV. Provider business mailing address

PO BOX 183
ARITON AL
36311-0183
US

V. Phone/Fax

Practice location:
  • Phone: 334-762-2399
  • Fax: 334-762-2399
Mailing address:
  • Phone: 334-762-2399
  • Fax: 334-762-2399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number122
License Number StateAL

VIII. Authorized Official

Name: MR. EDSEL EUGENE BONDS
Title or Position: SECRETARY-TREASURY
Credential:
Phone: 334-762-2399