Organization
SAMSON VOL. RESCUE SQUAD
Active
Other names
Samson Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WIGINTON EMR (CAPTIAN)
(334) 898-2471
Entity
Organization
Contact information
Practice address
9 S RIPLEY ST, SAMSON, AL 36477-1410
(334) 898-1153
(334) 898-1153
Mailing address
P O BOX 22, SAMSON, AL 36477
(334) 898-1183
(334) 898-1153
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
471
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050191
—
AL
05
—
200031101
—
AL
Enumeration date
03/06/2007
Last updated
02/19/2013
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