# COTTONWOOD AMBULANCE AND RESCUE SQUAD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1417982034
- **Authorized official:** THERESA STRENGTH (CAPTAIN)
- **Authorized official phone:** (334) 691-5059

## Contact information

- **Practice address:** 57 GRANGER ST, COTTONWOOD, AL 36320
- **Practice address phone:** (334) 691-5059
- **Mailing address:** 57 GRANGER ST, COTTONWOOD, AL 36320
- **Mailing address phone:** (334) 691-5059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 190 | AL | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 510-56520 | BLUE CROSS BLUE SHIELD | AL |