Organization
FLORALA RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES YORK (OWNER)
(334) 858-2503
Entity
Organization
Contact information
Practice address
612 E 4TH AVENUE, FLORALA, AL 36442-0000
(334) 858-2503
Mailing address
PO BOX 133, FLORALA, AL 36442-0133
(334) 858-2503
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
227
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000056297
—
AL
01
—
051056297
BLUE CROSS BLUE SHIELD AL
AL
05
—
907928900
—
FL
Enumeration date
01/18/2007
Last updated
11/18/2010
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