Healthcare Provider Details

I. General information

NPI: 1124078837
Provider Name (Legal Business Name): HANK'S ACQUISITION CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W PARK DR
BIRMINGHAM AL
35211-4469
US

IV. Provider business mailing address

PO BOX 198509
ATLANTA GA
30384-8509
US

V. Phone/Fax

Practice location:
  • Phone: 205-970-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: EDWARD VAN HORNE
Title or Position: PRESIDENT
Credential:
Phone: 303-495-1220