Provider Demographics
NPI:1467546242
Name:REGIONAL PARAMEDICAL SERVICES INC
Entity Type:Organization
Organization Name:REGIONAL PARAMEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLS
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:205-384-4310
Mailing Address - Street 1:PO BOX 11407 DRAWER 1633
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-1633
Mailing Address - Country:US
Mailing Address - Phone:205-437-6098
Mailing Address - Fax:205-437-5998
Practice Address - Street 1:3925 OLD BIRMINGHAM HWY
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-8949
Practice Address - Country:US
Practice Address - Phone:205-384-4310
Practice Address - Fax:205-384-9758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3533416L0300X
AL5723416L0300X
AL3523416L0300X
AL8203416L0300X
AL5543416L0300X
AL8873416L0300X
AL8493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000054978Medicaid
AL200064110Medicaid
AL510-54978OtherBCBS
AL113849Medicaid
AL113893Medicaid
AL114378Medicaid
AL114085Medicaid
AL000054978Medicaid
AL114378Medicaid