Organization
STILL WATERS VOLUNTEER FIRE & RESCUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI WRIGHT (EMS DIRECTOR)
(256) 825-0582
Entity
Organization
Contact information
Practice address
77 STILLWATERS DR, DADEVILLE, AL 36853-4675
(256) 825-0582
Mailing address
77 STILLWATERS DR, DADEVILLE, AL 36853-4675
(256) 825-0582
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
382
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000056059
—
AL
01
—
051056059
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
12/01/2006
Last updated
02/18/2013
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