# PRIDEMARK EMS, LLC

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

## Provider details

- **NPI number:** 1235529363
- **Authorized official:** BOBBIE L JOWERS (MEDICAL BILLING MANAGER)
- **Authorized official phone:** (334) 764-4476

## Contact information

- **Practice address:** 104 N WHALEY ST, OPP, AL 36467-2142
- **Practice address phone:** (334) 493-0299
- **Practice address fax:** (334) 493-0299
- **Mailing address:** 104 N WHALEY ST, OPP, AL 36467-2142
- **Mailing address phone:** (334) 493-0299
- **Mailing address fax:** (334) 493-0299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2015
- **Last updated:** 01/27/2015