Healthcare Provider Details

I. General information

NPI: 1235055922
Provider Name (Legal Business Name): RANDOLPH EMERGENCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 MAIN ST S STE 1
WEDOWEE AL
36278-5450
US

IV. Provider business mailing address

1469 MAIN ST S STE 1
WEDOWEE AL
36278-5450
US

V. Phone/Fax

Practice location:
  • Phone: 256-610-4974
  • Fax:
Mailing address:
  • Phone: 256-610-4974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JATHEN BURK
Title or Position: DIRECTOR
Credential: NREMT-P
Phone: 256-610-4974