MEDICARE: NORTH BALDWIN EMS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance		AL

General Provider Information

NPI Number	:	1578774659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BALDWIN EMS, LLC

Provider Business Mailing Address
First Line	:	10223 LAKEVIEW RD
Second Line	:	PO BOX 189
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-5921
Country	:	US
Telephone Number	:	251-937-0922
Fax Number	:

Provider Business Practice Location Address
First Line	:	10223 LAKEVIEW RD
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-5921
Country	:	US
Telephone Number	:	251-937-0922
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. MELISSA C SUTTON
Credential	:
Telephone Number	:	251-583-6413

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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Directions to “NORTH BALDWIN EMS, LLC ” Practice Location

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