# TOWN OF COLUMBIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Ambulance Rescue Emergency Squad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295896264
- **Authorized official:** ERNEST CLAYTON HAMM (EMS CAPTAIN)
- **Authorized official phone:** (334) 696-4417

## Contact information

- **Practice address:** 202 S MAIN ST, COLUMBIA, AL 36319-3669
- **Practice address phone:** (334) 696-4412
- **Practice address fax:** (334) 696-8083
- **Mailing address:** PO BOX 339, COLUMBIA, AL 36319-0339
- **Mailing address phone:** (334) 696-4417
- **Mailing address fax:** (334) 696-8083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 184 | AL | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 10/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000053075 | — | AL |
| 01 | — | 051053075 | BCBS OF ALABAMA | AL |
| 01 | — | 590012762 | RAILROAD MEDICARE | AL |
