Healthcare Provider Details

I. General information

NPI: 1538873435
Provider Name (Legal Business Name): SAVING GRACE EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 COUNTY ROAD 506
NEWELL AL
36280-4807
US

IV. Provider business mailing address

525 COUNTY ROAD 506
NEWELL AL
36280-4807
US

V. Phone/Fax

Practice location:
  • Phone: 256-610-9211
  • Fax:
Mailing address:
  • Phone: 256-610-9211
  • 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: STEPHANIE MICHELLE HERREN
Title or Position: DIRECTOR
Credential:
Phone: 256-610-9211