# FLORALA RESCUE SQUAD, INC.

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

## Provider details

- **NPI number:** 1720130636
- **Authorized official:** JAMES YORK (OWNER)
- **Authorized official phone:** (334) 858-2503

## Contact information

- **Practice address:** 612 E 4TH AVENUE, FLORALA, AL 36442-0000
- **Practice address phone:** (334) 858-2503
- **Mailing address:** PO BOX 133, FLORALA, AL 36442-0133
- **Mailing address phone:** (334) 858-2503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 227 | AL | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 11/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000056297 | — | AL |
| 01 | — | 051056297 | BLUE CROSS BLUE SHIELD AL | AL |
| 05 | — | 907928900 | — | FL |