Organization
HALEBURG RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED ANDERSON (DIRECTOR)
(334) 794-5400
Entity
Organization
Contact information
Practice address
10361 GEORGE H GRIMSLEY HWY, COLUMBIA, AL 36319-5831
(334) 794-5400
Mailing address
PO BOX 115, HEADLAND, AL 36345-0115
(334) 585-5555
(334) 585-5555
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
836
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051507349
BLUE CROSS BLUE SHIELD AL
AL
05
—
051551088
—
AL
Enumeration date
10/18/2006
Last updated
04/13/2010
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