NPI Code Details Logo

NPI 1942390372

NPI 1942390372 : ANGEL AMBULANCE, INC. : CLANTON, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942390372
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ANGEL AMBULANCE, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/14/2006
-----------------------------------------------------
    Last Update Date     |    08/22/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    411 LAY DAM RD 
-----------------------------------------------------
    City                 |    CLANTON
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35045-2964
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-755-9227
-----------------------------------------------------
    Fax                  |    205-280-3879
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    411 LAY DAM RD 
-----------------------------------------------------
    City                 |    CLANTON
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35045-2964
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-755-9227
-----------------------------------------------------
    Fax                  |    205-280-3879
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MRS. ANGELA M HILTON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    334-391-0817
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3416L0300X
-----------------------------------------------------
    Taxonomy Name        |    Land Ambulance
-----------------------------------------------------
    License Number       |    924
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.