Organization
AMERICAN AMBULANCE SERVCIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY E WILSON CEO EMTP (CEO)
(256) 739-8530
Entity
Organization
Contact information
Practice address
51 W 2ND ST, FALKVILLE, AL 35622-5009
(256) 737-7280
(256) 737-0845
Mailing address
1192 CULVER RD, FALKVILLE, AL 35622-0000
(256) 737-7280
(256) 737-0845
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
802
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051550690
—
AL
01
—
51529890
BLUE CROSS
AL
Enumeration date
06/04/2007
Last updated
07/17/2008
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