Organization
TOWN OF LIVINGSTON
Active
Other names
City Of Livingston Ambulance Serv
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C DIAL III (CITY ADMINISTRATOR)
(205) 652-2505
Entity
Organization
Contact information
Practice address
1304 N WASHINGTON ST, LIVINGSTON, AL 35470-5408
(205) 652-2505
(205) 652-9772
Mailing address
PO BOX W, LIVINGSTON, AL 35470-0408
(205) 652-2505
(205) 652-9772
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
294
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200060102
—
AL
01
—
406590002
MEDICARE RAILROAD
AL
01
—
51051487
BLUE CROSS
AL
Enumeration date
08/07/2006
Last updated
05/04/2017
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