Organization
HAYNES AMBULANCE OF WETUMPKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDEE HAYNES BARRETT EMT-P (MANAGER)
(334) 241-5224
Entity
Organization
Contact information
Practice address
219 COMPANY ST, WETUMPKA, AL 36092-2758
(334) 567-7039
Mailing address
P.O. BOX 116, WETUMPKA, AL 36092
(334) 567-7039
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0265
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-51928
BLUE CROSS BLUE SHEILD AL
AL
Enumeration date
08/16/2006
Last updated
08/22/2020
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