Provider Demographics
NPI:1225288681
Name:HAYNES AMBULANCE OF TROY LLC
Entity Type:Organization
Organization Name:HAYNES AMBULANCE OF TROY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:334-241-5224
Mailing Address - Street 1:PO BOX 1515
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-0028
Mailing Address - Country:US
Mailing Address - Phone:334-241-5224
Mailing Address - Fax:334-567-6850
Practice Address - Street 1:510 S BRUNDIDGE ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3334
Practice Address - Country:US
Practice Address - Phone:334-265-1208
Practice Address - Fax:334-567-6850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport