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Organization

HANK'S ACQUISITION CORP.

Active
Other names
American Medical Response
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD VAN HORNE (PRESIDENT)
(303) 495-1220
Entity
Organization

Contact information

Practice address
124 W PARK DR, BIRMINGHAM, AL 35211-4469
(205) 970-8700
Mailing address
PO BOX 198509, ATLANTA, GA 30384-8509

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200037105
AL
01
57840HAN
BLUECROSS BLUESHIELD OF A
AL
01
590009272
RAILROAD MEDICARE
AL
01
AL0000D100179
SECTION 1011
AL
Enumeration date
05/11/2006
Last updated
09/13/2013
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