Organization
GENEVA RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY G DODSON PARAMEDIC (CAPTAIN)
(334) 684-2586
Entity
Organization
Contact information
Practice address
517 S COMMERCE ST, 701 S COMMERCE ST, GENEVA, AL 36340-2420
(334) 684-2586
(334) 684-0590
Mailing address
PO BOX 175, GENEVA, AL 36340-0175
(334) 684-2586
(334) 684-0590
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0242
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-50168
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/11/2006
Last updated
08/22/2020
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