Organization
OPPORTUNITY EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAYWIOOD F NOWLIN (OWNER)
(334) 493-0911
Entity
Organization
Contact information
Practice address
1107 W CUMMING AVE, OPP, AL 36467-2717
(334) 493-0911
(334) 493-4042
Mailing address
1107 W CUMMING AVE, OPP, AL 36467-2717
(334) 493-0911
(334) 493-4042
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
509
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-78716
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
10/26/2005
Last updated
08/22/2020
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