# CCEMS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003997891
- **Authorized official:** LAURIE CONLEY (OFFICE MANAGER/BILLING CLERK)
- **Authorized official phone:** (334) 347-0333

## Contact information

- **Practice address:** 200 BUFORD ST, ELBA, AL 36323-1706
- **Practice address phone:** (334) 347-0333
- **Mailing address:** 200 BUFORD ST, ELBA, AL 36323-1706
- **Mailing address phone:** (334) 347-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 611 | AL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 05/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 051554333 | — | AL |
| 01 | — | 515-19604 | BCBS AL | AL |