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Organization

GENEVA RESCUE SQUAD

Active
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Organization

GENEVA RESCUE SQUAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA JOHNSON CFO (CITY CLERK/TREASURER)
(334) 684-2485
Entity
Organization

Contact information

Practice address
517 S COMMERCE ST, 701 S COMMERCE ST, GENEVA, AL 36340-2420
(334) 684-2586
(334) 684-0590
Mailing address
PO BOX 37, GENEVA, AL 36340-0037
(334) 684-2485

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0242
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031105
—
AL
01
—
510-50168
BLUE CROSS BLUE SHIELD
AL
01
—
590096059
RAIL ROAD MEDICARE
AL
Enumeration date
10/11/2006
Last updated
10/07/2026
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