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Organization
TOWN OF CLAYTON
Active
Organization
TOWN OF CLAYTON
Active
Other names
Clayton Fire and Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY P GULLEDGE (DIRECTOR)
(334) 775-3365
Entity
Organization
Contact information
Practice address
6 S MIDWAY ST, CLAYTON, AL 36016
(334) 775-3365
Mailing address
PO BOX 601, CLAYTON, AL 36016-0601
(334) 775-3356
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
178
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051859
—
AL
01
—
510-51859
BLUE CROSS
AL
01
—
590007552
RAILROAD MEDICARE
—
Enumeration date
10/11/2006
Last updated
08/15/2018
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