Organization
NORTHWEST ALABAMA HEALTH SERVICES, LLC
Active
Other names
Keller EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WESTMORELAND (CFO)
(256) 386-4550
Entity
Organization
Contact information
Practice address
1300 S MONTGOMERY AVE, SHEFFIELD, AL 35660-6334
(256) 386-4011
(256) 386-4685
Mailing address
PO BOX 610, SHEFFIELD, AL 35660-0610
(256) 386-4011
(256) 386-4685
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
270
AL
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00702047
MS MEDICAID GROUP NUMBER
MS
01
—
051532114
BLUE CROSS
AL
05
—
051556913
—
AL
Enumeration date
10/04/2006
Last updated
07/08/2019
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