Healthcare Provider Details

I. General information

NPI: 1548462211
Provider Name (Legal Business Name): AMERICAN AMBULANCE SERVCIE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 W 2ND ST
FALKVILLE AL
35622-5009
US

IV. Provider business mailing address

1192 CULVER RD
FALKVILLE AL
35622-0000
US

V. Phone/Fax

Practice location:
  • Phone: 256-737-7280
  • Fax: 256-737-0845
Mailing address:
  • Phone: 256-737-7280
  • Fax: 256-737-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number802
License Number StateAL

VIII. Authorized Official

Name: MR. RANDY E WILSON
Title or Position: CEO
Credential: CEO EMTP
Phone: 256-739-8530