# PICKENS CO AMBULANCE SRVC

> 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
- **Other names:** PICKENS COUNTY AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578537163
- **Authorized official:** JON ANTHONY SMELLEY (CEO)
- **Authorized official phone:** (205) 247-4748

## Contact information

- **Practice address:** 40 FIRE HOUSE DR, CARROLLTON, AL 35447-8002
- **Practice address phone:** (205) 367-8086
- **Practice address fax:** (205) 345-7911
- **Mailing address:** PO BOX 2788, TUSCALOOSA, AL 35403-2788
- **Mailing address phone:** (205) 752-5866
- **Mailing address fax:** (205) 345-7911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 344 | AL | Yes |

## Other

- **Enumeration date:** 02/13/2006
- **Last updated:** 03/04/2020