Healthcare Provider Details

I. General information

NPI: 1992758718
Provider Name (Legal Business Name): BLOUNT EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 06/19/2020
Certification Date: 06/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 VALLEY RD
ONEONTA AL
35121-1340
US

IV. Provider business mailing address

PO BOX 648
ONEONTA AL
35121-0648
US

V. Phone/Fax

Practice location:
  • Phone: 205-625-4567
  • Fax:
Mailing address:
  • Phone: 205-625-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number911
License Number StateAL

VIII. Authorized Official

Name: JON ANTHONY SMELLEY
Title or Position: CEO
Credential:
Phone: 205-247-4748