Organization
CITY OF HEADLAND
Active
Other names
Headland Fire and Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HATCHER (EMS LT)
(334) 693-9325
Entity
Organization
Contact information
Practice address
456 E MAIN ST, HEADLAND, AL 36345-1850
(334) 693-9325
Mailing address
25 GROVE ST, HEADLAND, AL 36345-1749
(334) 693-9325
(334) 693-4785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
772
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000096169
—
AL
01
—
510-96169
BLUECROSS
AL
01
—
629503000
DOL
—
Enumeration date
11/15/2006
Last updated
08/06/2025
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