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Organization

CITY OF LANETT

Active
Other names
City of Lanett Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNNY ALLEN (FIRE CHIEF)
(334) 644-5225
Entity
Organization

Contact information

Practice address
401 N LANIER AVE, LANETT, AL 36863-2019
(334) 644-5225
Mailing address
PO BOX 290, LANETT, AL 36863-0290
(334) 644-5225

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
171
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000053874
AL
01
051053874
BLUE CROSS BLUE SHIELD AL
AL
01
590000497
RAILROAD MEDICARE
AL
Enumeration date
09/20/2006
Last updated
02/20/2013
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