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NPI 1942206461

NPI 1942206461 : GREENE COUNTY AMBULANCE SERVICES : EUTAW, AL

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General NPI Number Information
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    NPI Number           |    1942206461
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREENE COUNTY AMBULANCE SERVICES 
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Dates
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    Enumeration Date     |    06/21/2005
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    502 WILSON AVE 
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    City                 |    EUTAW
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    State                |    AL
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    Zip                  |    35462-1063
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    Country              |    US
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    Telephone            |    205-372-4934
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 431 
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    City                 |    EUTAW
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    State                |    AL
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    Zip                  |    35462-0431
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    Country              |    US
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    Telephone            |    205-372-4934
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     CHRISTOPHER  JONES 
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    Credential           |    
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    Telephone            |    205-372-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    0249
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    License Number State |    AL
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