Organization
TOWN OF COLUMBIA
Active
Other names
Columbia Ambulance Rescue Emergency Squad
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST CLAYTON HAMM (EMS CAPTAIN)
(334) 696-4417
Entity
Organization
Contact information
Practice address
202 S MAIN ST, COLUMBIA, AL 36319-3669
(334) 696-4412
(334) 696-8083
Mailing address
PO BOX 339, COLUMBIA, AL 36319-0339
(334) 696-4417
(334) 696-8083
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
184
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000053075
—
AL
01
—
051053075
BCBS OF ALABAMA
AL
01
—
590012762
RAILROAD MEDICARE
AL
Enumeration date
12/13/2006
Last updated
10/21/2024
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