Healthcare Provider Details

I. General information

NPI: 1992699177
Provider Name (Legal Business Name): ACADIAN AMBULANCE SERVICE OF ALABAMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MIDTOWN PARK W
MOBILE AL
36606-4148
US

IV. Provider business mailing address

PO BOX 98000
LAFAYETTE LA
70509-8000
US

V. Phone/Fax

Practice location:
  • Phone: 337-371-3881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: DANA NEUCERE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 337-291-4186