# ECHO VOLUNTEER RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1912069261
- **Authorized official:** MR. EDWARD ALLEN SMITH (GENERAL MANAGER / DIRECTOR)
- **Authorized official phone:** (334) 795-6700

## Contact information

- **Practice address:** 11687 E HIGHWAY 27, NEWVILLE, AL 36353-7537
- **Practice address phone:** (334) 726-7011
- **Practice address fax:** (334) 602-0190
- **Mailing address:** PO BOX 372, OZARK, AL 36361-0372
- **Mailing address phone:** (334) 701-1783
- **Mailing address fax:** (334) 693-4404

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 10/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000029558 | — | AL |
| 01 | — | 51020200029558 | BCBS OF AL | AL |
