Organization
TOWN OF ECLECTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DUCK (TOWN CLERK)
(334) 541-4429
Entity
Organization
Contact information
Practice address
140 1ST AVE, ECLECTIC, AL 36024
(334) 541-3581
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000037499
—
AL
01
—
51037499
BCBS OF AL
AL
Enumeration date
09/20/2006
Last updated
10/16/2023
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