# COUNTY EMS LLC

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

## Provider details

- **NPI number:** 1619052099
- **Authorized official:** TERRY GARWOOD (OWNER)
- **Authorized official phone:** (256) 637-0500

## Contact information

- **Practice address:** 1550 HIGHWAY 31 NW, HARTSELLE, AL 35640-4430
- **Practice address phone:** (256) 773-2662
- **Practice address fax:** (256) 773-2662
- **Mailing address:** PO BOX 458, MOULTON, AL 35650-0458
- **Mailing address phone:** (256) 773-2662
- **Mailing address fax:** (256) 292-3514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 886 | AL | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 12/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 051553854 | — | AL |
| 01 | — | 51518058 | BC/BS OF ALABAMA | AL |