Organization
HAYNES AMBULANCE OF ALABAMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDEE HAYNES BARRETT EMT-P (DIRECTOR OF BILLING)
(334) 241-5224
Entity
Organization
Contact information
Practice address
2530 E 5TH ST, MONTGOMERY, AL 36107-3106
(334) 265-1208
Mailing address
PO BOX 1515, WETUMPKA, AL 36092-0028
(334) 265-1208
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0267
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-52993
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
08/13/2006
Last updated
08/22/2020
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