Organization
LAWRENCE COUNTY EMERGENCY MEDICAL SERVICES, INC.
Active
Other names
Greg's Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DAREL RANDOLPH PARAMEDIC (PRESIDENT)
(256) 974-3711
Entity
Organization
Contact information
Practice address
11227 AL HIGHWAY 157, SUITE A, MOULTON, AL 35650-1983
(256) 974-3711
(256) 974-7956
Mailing address
PO BOX 520, MOULTON, AL 35650-0520
(256) 974-3711
(256) 974-7956
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040104
—
AL
01
—
510 39489
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/16/2005
Last updated
10/29/2010
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