Organization
DOTHAN AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DAUGHTRY (C.E.O.)
(334) 794-4444
Entity
Organization
Contact information
Practice address
923 S FOSTER ST, DOTHAN, AL 36301-3649
(334) 794-4444
(334) 712-9335
Mailing address
923 S FOSTER ST, DOTHAN, AL 36301-3649
(334) 794-4444
(334) 712-9335
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
205
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003851800
—
FL
05
—
200035101
—
AL
01
—
51050007
BLUE CROSS BLUE SHIELD
AL
01
—
590001982
RAILROAD MEDICARE
AL
05
—
796349292A
—
GA
Enumeration date
11/28/2006
Last updated
11/10/2011
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