# CHEROKEE RESCUE SQUAD

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

## Provider details

- **NPI number:** 1134293798
- **Authorized official:** CRYSTAL HUDDLESTON (DIRECTOR)
- **Authorized official phone:** (256) 314-5878

## Contact information

- **Practice address:** 8020 HIGHWAY 72, CHEROKEE, AL 35616-4400
- **Practice address phone:** (256) 314-5878
- **Mailing address:** PO BOX 241, CHEROKEE, AL 35616-0241
- **Mailing address phone:** (256) 314-5878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 157 | AL | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 01/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 515-11931 | BLUE CROSS | AL |
| 05 | — | 51550582 | — | AL |