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Organization
LAWRENCE COUNTY EMERGENCY MEDICAL SERVICES, INC.
Active
Organization
LAWRENCE COUNTY EMERGENCY MEDICAL SERVICES, INC.
Active
Other names
Greg's Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DAREL RANDOLPH PARAMEDIC (PRESIDENT)
(256) 974-3711
Entity
Organization
Contact information
Practice address
11227 AL HIGHWAY 157, SUITE A, MOULTON, AL 35650-1983
(256) 974-3711
(256) 974-7956
Mailing address
PO BOX 520, MOULTON, AL 35650-0520
(256) 974-3711
(256) 974-7956
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040104
—
AL
01
—
510 39489
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/16/2005
Last updated
10/29/2010
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