Provider Demographics
NPI:1184689325
Name:HALE CO HLTH/HALE CO EMS
Entity Type:Organization
Organization Name:HALE CO HLTH/HALE CO EMS
Other - Org Name:HALE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-624-7108
Mailing Address - Street 1:680 HALL ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-2516
Mailing Address - Country:US
Mailing Address - Phone:334-624-7108
Mailing Address - Fax:334-624-7252
Practice Address - Street 1:680 HALL ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-2316
Practice Address - Country:US
Practice Address - Phone:334-624-7108
Practice Address - Fax:334-624-7252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2553416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL590010944OtherUNITED HEALTH CARE/RAILRO
AL200033101Medicaid
AL51052480OtherBLUE CROSS BLUE SHIELD
AL200033101Medicaid
=========OtherFEDERAL BLACK LUNG