Organization
SOUTHEAST SHELBY COUNTY EMERGENCY MEDICAL RESCUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COBY CARDEN (CHIEF)
(205) 669-4866
Entity
Organization
Contact information
Practice address
103 HIGHWAY 47 S, COLUMBIANA, AL 35051-9464
(205) 669-4866
Mailing address
PO BOX 857, COLUMBIANA, AL 35051-0857
(205) 729-3089
(205) 669-4886
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
374
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051530848
BLUE CROSS
—
05
—
051556446
—
AL
Enumeration date
10/04/2006
Last updated
02/06/2024
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