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Organization

CITY OF LAFAYETTE

Active
Other names
LaFayette EMS
Organization subpart
No

Provider details

NPI number
Authorized official
JIM DOODY (FIRE EMS CHIEF)
(334) 864-8622
Entity
Organization

Contact information

Practice address
56 2ND AVE SW, LAFAYETTE, AL 36862-1945
(334) 864-8622
Mailing address
56 2ND AVE SW, LAFAYETTE, AL 36862-1945
(334) 864-8622

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
289
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000054142
AL
01
510-54142
BLUE CROSS
AL
Enumeration date
12/01/2006
Last updated
12/29/2025
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