Provider Demographics
NPI:1437840311
Name:WINSTON COUNTY RESCUE SQUAD INC
Entity Type:Organization
Organization Name:WINSTON COUNTY RESCUE SQUAD INC
Other - Org Name:WINSTON COUNTY RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-654-0165
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:ARLEY
Mailing Address - State:AL
Mailing Address - Zip Code:35541-0471
Mailing Address - Country:US
Mailing Address - Phone:337-654-0165
Mailing Address - Fax:
Practice Address - Street 1:236 HELICON ROAD
Practice Address - Street 2:
Practice Address - City:ARLEY
Practice Address - State:AL
Practice Address - Zip Code:35541
Practice Address - Country:US
Practice Address - Phone:205-384-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty