# HAYNES AMBULANCE OF WETUMPKA

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

## Provider details

- **NPI number:** 1306959028
- **Authorized official:** MRS. BRANDEE HAYNES BARRETT EMT-P (MANAGER)
- **Authorized official phone:** (334) 241-5224

## Contact information

- **Practice address:** 219 COMPANY ST, WETUMPKA, AL 36092-2758
- **Practice address phone:** (334) 567-7039
- **Mailing address:** P.O. BOX 116, WETUMPKA, AL 36092
- **Mailing address phone:** (334) 567-7039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0265 | AL | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 510-51928 | BLUE CROSS BLUE SHEILD AL | AL |
