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Organization
NEW SITE VOLUNTEER FIRE AMBULANCE SERVICE
Active
Organization
NEW SITE VOLUNTEER FIRE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE PAUL BOONE (DIRECTOR)
(256) 825-1078
Entity
Organization
Contact information
Practice address
12791 HIGHWAY 22 E, NEW SITE, AL 36256-3258
(256) 825-1078
Mailing address
12791 HIGHWAY 22 E, NEW SITE, AL 36256-3258
(256) 825-1078
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
322
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000053414
—
AL
01
—
510-53414
BLUE CROSS
AL
Enumeration date
09/29/2006
Last updated
01/15/2008
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