Healthcare Provider Details

I. General information

NPI: 1316012032
Provider Name (Legal Business Name): CHOCTAW COUNTY EMERGENCY MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 W PUSHMATAHA ST
BUTLER AL
36904-2440
US

IV. Provider business mailing address

816 W PUSHMATAHA ST P.O. BOX 287
BUTLER AL
36904-2440
US

V. Phone/Fax

Practice location:
  • Phone: 205-459-5512
  • Fax: 205-459-5513
Mailing address:
  • Phone: 205-459-5512
  • Fax: 205-459-5513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number161
License Number StateAL

VIII. Authorized Official

Name: MS. GERALDINE CURTIS
Title or Position: EXECUTIVE DIRECTOR
Credential: EMT-P
Phone: 205-459-5512