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Organization
CITY OF GOODWATER/AMB SRV
Active
Organization
CITY OF GOODWATER/AMB SRV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMORE UNBEHANT (ASST CHIEF)
(256) 839-5521
Entity
Organization
Contact information
Practice address
55 MAIN ST., GOODWATER, AL 35072
(256) 839-5521
Mailing address
PO BOX 45, GOODWATER, AL 35072-0045
(256) 839-5521
(256) 839-5663
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
246
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051665
—
AL
01
—
51051665
BLUECROSS BLUESHIELD
AL
01
—
590012097
RAILROAD MEDICARE
AL
Enumeration date
12/05/2006
Last updated
08/21/2007
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