Organization
SIMMONS AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAYSON SIMMONS MD (OWNER)
(251) 743-7486
Entity
Organization
Contact information
Practice address
1956 SAWYER DR, MONROEVILLE, AL 36460-7984
(800) 996-4727
Mailing address
PO BOX 646, MONROEVILLE, AL 36461
(251) 743-2623
(251) 575-4333
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
365
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054358
—
AL
05
—
200050104
—
AL
01
—
51054358
BC
—
Enumeration date
07/27/2006
Last updated
01/31/2013
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