Organization
CCEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE CONLEY (OFFICE MANAGER/BILLING CLERK)
(334) 347-0333
Entity
Organization
Contact information
Practice address
200 BUFORD ST, ELBA, AL 36323-1706
(334) 347-0333
Mailing address
200 BUFORD ST, ELBA, AL 36323-1706
(334) 347-0333
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
611
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051554333
—
AL
01
—
515-19604
BCBS AL
AL
Enumeration date
10/18/2006
Last updated
05/19/2022
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