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Organization
TOWN OF COLUMBIA
Active
Organization
TOWN OF COLUMBIA
Active
Other names
Columbia Ambulance Rescue Emergency Squad
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST CLAYTON HAMM (EMS CAPTAIN)
(334) 696-4417
Entity
Organization
Contact information
Practice address
202 S MAIN ST, COLUMBIA, AL 36319-3669
(334) 696-4412
(334) 696-8083
Mailing address
PO BOX 339, COLUMBIA, AL 36319-0339
(334) 696-4417
(334) 696-8083
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
184
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000053075
—
AL
01
—
051053075
BCBS OF ALABAMA
AL
01
—
590012762
RAILROAD MEDICARE
AL
Enumeration date
12/13/2006
Last updated
10/21/2024
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