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Organization

SKIPPERVILLE VOLUNTEER RESCUE SQUAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY WOOD (BILLING)
(334) 693-2105
Entity
Organization

Contact information

Practice address
POST OFFICE BOX 149, SKIPPERVILLE, AL 36374-0149
(866) 297-5189
Mailing address
POST OFFICE BOX 149, SKIPPERVILLE, AL 36374-0149
(866) 297-5189

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
367
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000050017
AL
01
51050017
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
Enumeration date
12/05/2006
Last updated
05/21/2009
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