Organization
NORTHSTAR EMS INC
Active
Other names
FAYETTE COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON A SMELLEY (PRESIDENT)
(205) 247-4748
Entity
Organization
Contact information
Practice address
2328 TEMPLE AVE N, FAYETTE, AL 35555-1118
(205) 904-8322
Mailing address
P O BOX 2788, TUSCALOOSA, AL 35403-2788
(205) 752-5866
(205) 345-7911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
975
AL
Other
Enumeration date
09/04/2008
Last updated
06/19/2020
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