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Organization
TALLAPOOSA EMS, LLC
Active
Organization
TALLAPOOSA EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON MONTGOMERY (ACCOUNT MANAGER)
(562) 496-2755
Entity
Organization
Contact information
Practice address
201 MARIARDEN RD, DADEVILLE, AL 36853-6244
(256) 825-9811
(877) 679-6524
Mailing address
PO BOX 595, DADEVILLE, AL 36853-0595
(256) 825-9811
(256) 825-2838
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
895
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555020
—
AL
Enumeration date
02/06/2006
Last updated
07/23/2024
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