# HALEBURG RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1740361609
- **Authorized official:** ED ANDERSON (DIRECTOR)
- **Authorized official phone:** (334) 794-5400

## Contact information

- **Practice address:** 10361 GEORGE H GRIMSLEY HWY, COLUMBIA, AL 36319-5831
- **Practice address phone:** (334) 794-5400
- **Mailing address:** PO BOX 115, HEADLAND, AL 36345-0115
- **Mailing address phone:** (334) 585-5555
- **Mailing address fax:** (334) 585-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 836 | AL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 04/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 051507349 | BLUE CROSS BLUE SHIELD AL | AL |
| 05 | — | 051551088 | — | AL |