Organization
TOWN OF ARITION RESCUE SQUAD
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDSEL EUGENE BONDS (SECRETARY-TREASURY)
(334) 762-2399
Entity
Organization
Contact information
Practice address
837 E MAIN ST, ARITON, AL 36311-5025
(334) 762-2399
(334) 762-2399
Mailing address
PO BOX 183, ARITON, AL 36311-0183
(334) 762-2399
(334) 762-2399
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
122
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000051328
MEDICAID SECONDARY
AL
05
—
200023107
—
AL
01
—
51051328
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
06/14/2005
Last updated
09/17/2008
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