Healthcare Provider Details

I. General information

NPI: 1942206461
Provider Name (Legal Business Name): GREENE COUNTY AMBULANCE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 WILSON AVE
EUTAW AL
35462-1063
US

IV. Provider business mailing address

PO BOX 431
EUTAW AL
35462-0431
US

V. Phone/Fax

Practice location:
  • Phone: 205-372-4934
  • Fax:
Mailing address:
  • Phone: 205-372-4934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0249
License Number StateAL

VIII. Authorized Official

Name: CHRISTOPHER JONES
Title or Position: DIRECTOR
Credential:
Phone: 205-372-0017