Healthcare Provider Details

I. General information

NPI: 1023173580
Provider Name (Legal Business Name): BUTLER COUNTY EMERGENCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 EAST MILL ST
GEORGIANA AL
36033
US

IV. Provider business mailing address

HC 32 BOX 56
EVERGREEN AL
36401-9103
US

V. Phone/Fax

Practice location:
  • Phone: 334-376-9111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number880
License Number StateAL

VIII. Authorized Official

Name: MICHAEL LAMBERT
Title or Position: OWNER
Credential:
Phone: 251-578-6040