Provider Demographics
NPI:1154326445
Name:TOWN OF ARITION RESCUE SQUAD
Entity Type:Organization
Organization Name:TOWN OF ARITION RESCUE SQUAD
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY-TREASURY
Authorized Official - Prefix:MR
Authorized Official - First Name:EDSEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-762-2399
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:ARITON
Mailing Address - State:AL
Mailing Address - Zip Code:36311-0183
Mailing Address - Country:US
Mailing Address - Phone:334-762-2399
Mailing Address - Fax:334-762-2399
Practice Address - Street 1:837 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ARITON
Practice Address - State:AL
Practice Address - Zip Code:36311-5025
Practice Address - Country:US
Practice Address - Phone:334-762-2399
Practice Address - Fax:334-762-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL200023107Medicaid
AL000051328OtherMEDICAID SECONDARY
AL51051328OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL51051328OtherBLUE CROSS BLUE SHIELD OF ALABAMA