Organization
NEW SITE VOLUNTEER FIRE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE PAUL BOONE (DIRECTOR)
(256) 825-1078
Entity
Organization
Contact information
Practice address
12791 HIGHWAY 22 E, NEW SITE, AL 36256-3258
(256) 825-1078
Mailing address
12791 HIGHWAY 22 E, NEW SITE, AL 36256-3258
(256) 825-1078
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
322
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000053414
—
AL
01
—
510-53414
BLUE CROSS
AL
Enumeration date
09/29/2006
Last updated
01/15/2008
Update your record
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