Provider Demographics
NPI:1134284672
Name:CONECUH COUNTY EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:CONECUH COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-578-6040
Mailing Address - Street 1:HC 32 BOX 56
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-9103
Mailing Address - Country:US
Mailing Address - Phone:251-578-6040
Mailing Address - Fax:251-578-6824
Practice Address - Street 1:HC 32 BOX 56
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-9103
Practice Address - Country:US
Practice Address - Phone:251-578-6040
Practice Address - Fax:251-578-6824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5703416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport